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:
Telephone # of Person Submitting Form:
Special Functions
# Attending
# Attending

Wednesday Education Seminar
2:00 pm - 6:00 pm October 7

Thursday Dinner/Awards Reception
7:30 pm - 9:30 pm October 8

Thursday Night Cocktail Receptoin
6:00 pm - 7:15 pm October 8
Saturday "Themed" Dinner Event
7:00 pm - 9:30 pm October 10

Registration Fee
By September 1
(cut off date)
After September 1
#Attending
1st BKBG Member (Principal) $500.00
$525.00
x
1
= $ 525.00
Additional Member (2nd or more) $500.00 each
$500.00 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, 2008.
*Dues are deducted at a rate of $150.00 each quarter from member rebates.
*Photography and video recording devices are not permitted on the exhibit floor.

Registration Payment

Sent Check - Payable to: Buying Group Services
Total Amount Due $
Charge My Credit Card VISA
Account Number: Expiration Date:
Name on Card:    
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 September 15, 2009. No refunds after September 15, 2009. Hotel reservations must be cancelled in accordance with Hilton Anatole reservation policies..

Hotel Reservations

Make your reservations with Hilton Anatole
(use group designation BKBG)
Call Direct: 800-HILTONS
or Go Online: www.BKBG.com
Hotel Cut-off Date: September 15, 2009 5:00 pm, CST
BKBG Discount Rate: $149.00 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 ANNIE AT 504-486-5173.