Annual Registration Form

FLORIDA ASSOCIATION OF EDUCATIONAL OFFICE PROFESSIONALS

61st Annual Conference/Workshop Registration Form

Let Your Facets Shine for FAEOP

Holiday Inn Select

2001 North Cove Boulevard

Panama City, FL 32405

850.769.0000

June 20-23, 2012

PLEASE PRINT FORM AND RETURN THIS SECTION WITH PAYMENT

Please check all that apply:

This is my first FAEOP Conference		I am an FAEOP Officer/Chairman
I am not a member of FAEOP		I am a member of NAEOP
I am a member of FAEOP		I am a member of my local association
I am a new member of FAEOP		I am PRESIDENT of my local association
I am a retired member of FAEOP		I am a PAST PRESIDENT of my local association
I am a Past President of FAEOP		I am a PAST PRESIDENT of my local association
I am interested in serving FAEOP		I have never been to a NAEOP Conference
I have my PSP Level:		I plan to attend NAEOP Conference this year
I have my CEOE		I would like information of the Professional Standards Program (PSP)

Name:
Title/Position:
Home Address:

City/State/Zip:

Email Address:
Telephone: Work	Home	Cell
FAX
County/Association:

Member	Early Bird Registration Late after 5/30/12	Entire Conf. $110.00 Entire Conf. $115.00	One Day $60.00 One Day $65.00	Self	# of Guests
Shining Stars	Early Bird Registration Late after 5/30/12	Entire Conf. $105.00 Entire Conf. $110.00	One Day $55.00 One Day $60.00
Non-Member	Early Bird Registration Late after 5/30/12	Entire Conf. $110.00 Entire Conf. $115.00	One Day $60.00 One Day $65.00
Wednesday, June 20 Opening Session Events (Hospitality, Advisory Council, Executive Board)			Check if attending & number of guests
Thursday, June 21 Luncheon honoring Shining Stars (Plated and served Salad with Starch and Vegetable) Chicken Cordon Bleu: Marinated Breast of Chicken Stuffed with Virginia Baked Ham and Smoked Swiss Cheese then Lightly Breaded, Deep Fried to a Golden Brown, Smothered in a Gouda Cheese Sauce, served with Rice Pilaf, Chef's Choice of Vegetable, Garden Fresh Salad, Coffee, Iced Tea, Rolls, Butter, and Chef's Choice of Dessert			Guests - $20.00 each Check if attending & number of guests
Friday, June 22 Awards Luncheon honoring FAEOP Past Presidents (plated and served Chef Salad and Soup) A Chef Salad with Virginia Baked Ham, Smoked Turkey Breast, Roast Beef on a Bed of Romaine, Spring Mix, and Iceberg Lettuce, Topped with Egg Halves, Cucumbers, Croutons, Swiss and American Cheese, Served with your Choice of Dressings, Coffee, Iced Tea, Rolls, Butter, and Chef's Choice of Dessert.			Guests - $20.00 each Check if attending & number of guests
Friday, June 17 Installation Banquet (Not included in one-day attendance) Choice: Menu A - Chicken Diane with Brown Dijon Mustard Gravy: Marinated Chicken Breast topped with Brown Mushroom Gravy, served with Rice Pilaf, Vegetable Medley (grilled Zucchini, Squash, Cauliflower, Broccoli, & Peppers), Garden Fresh Salad (with Ranch, CAtalina, or Balsamic Vinaigrette Dressing), Coffee, Iced Tea, Rolls, and Butter. or Menu B - Grilled Grouper: Grilled Gouper, Seasoned with our own special Seasoning, served with Rice Pilaf, Vegetable Medley (grilled Zucchini, Squash, Cauliflower, Broccoli & Peppers), Garden Fresh Salad (with Ranch, Catalina, or Balsamic Vinaigrette Dressing), Coffee, Iced Tea, Rolls, and Butter.			Guests - $30.00 each Check if attending & number of guests	Menu A Menu B	Menu A Menu B
**************Call for Special dietary needs (850)769-0000**************Total Enclosed: $ Full Registration includes ALL meals except Breakfast and Thursday Dinner - a night on your own to go visit the town!
Make checks payable to HCAEOP (Hillsborough County AEOP)

Mail check and registration form to:	Darla Allen
	14801 Oak Vine Drive
	Lutz, FL 33559
Membership is not required to attend an FAEOP Conference