NOTE: YOU MUST TAB THROUGH TOTAL FIELDS FOR THE FORM TO ADD AMOUNTS AUTOMATICALLY.

(Information provided is how it will appear on badge.)
Date:

Company Name:
City: State:

Name (Principal):
Associate Name:
Associate Name:
Associate Name:
Email and Telephone # of Person Submitting Form:
Special Functions
# Attending
# Attending

Wednesday Night Recption
7:00 pm - 8:00 pm September 5

Friday Celebration
7:00 pm - 9:30 pm September 7

Wednesday Dinner / Awards Recognition
8:00 pm - 10:00 pm September 5
 

Registration Fee
By July 25
(Early Bird cut off date)
After July 25
#Attending
1st BKBG Member (Principal) $500.00
$525.00
x
1
= $ 525.00
Additional Member (2nd or more) $500.00 each
$525.00 each
x
= $
Guest
(Not in Kitchen/Bath Industry) 		$350.00 each
$350.00 each
x
= $

Note: *ONE Conference registration is included each calendar year as part of your annual dues.
Check box if applies
( )
  *Members may deduct $500.00 from registration if they joined PRIOR TO JANUARY 1, 2011.
*There will be an automatic $25.00 late registration fee for those who register after the close of registration, Monday, August 31.
*Photography and video recording devices are not permitted on the exhibit floor.
*Children under the age of 12 are not permitted on the exhibit floor during rotations or in schedule meetings.

Registration Payment

Sent Check - Payable to: Buying Group Services

Please click this box to see your total amount due.

Total Amount Due $

Charge My Credit Card VISA
Account Number: Expiration Date:
Name on Card:    
CC Billing Address:
City: State:
Zip:
Note: Send registrations with payment to: BGS Accounting, Post Office Box 4100, New Orleans, LA 70178
or FAX TO: Lesley Hardin @ 504-486-5273.
Cancellation Policy
Cancellations must be made in writing (fax to 504-486-5273) and received by August 13, 2012. No refunds after August 13, 2012. Hotel reservations must be cancelled in accordance with Hyatt Regency O'Hare reservation policies.

Hotel Reservations

Make your reservations with Hyatt Regency O'Hare
(use group designation BKBG)		 Call Direct: 847-696-1234
or Go Online: www.BKBG.com
Hotel Cut-off Date: August 13, 2012 5:00 pm, CST
BKBG Discount Rate: $119.00 single or double

Special Needs and/or Dietary Restrictions: Name:
ADA Requirements: Name:
 

Note: Registration fees include all conference sessions, materials, and scheduled meal functions.

BEFORE YOU CLICK SUBMIT, PLEASE PRINT A COPY FOR YOUR RECORDS.
IF YOU DO NOT RECEIVE A CONFIRMATION WITHIN 5 DAYS, PLEASE CALL LESLIE AT 504-486-5173.