Food Safety Summit 2009 Brochure - (Page 15) REGISTRATION ON THE WEB: www.foodsafetysummit.com FAX THIS FORM: 847-713-2590 MAIL THIS FORM: The Food Safety Summit • 5 Executive Court, Suite #2, South Barrington, IL 60010 Three Ways To Register For The 2009 Summit 1. REGISTRANT INFORMATION NAME TITLE COMPANY ADDRESS CITY PHONE EMAIL (mandatory information or registration will not be processed) 3. ABOUT YOU YOUR EMPLOYER (required) 2 Food Processor/Manufacturer 2 Restaurant Operator 2 Retailer 2 Foodservice 2 Warehouse/Logistics 2 Ingrediant Manufacturer 2 Government Agency/Military 2 Academic Institution 2 Non-Profit Trade Association 2 Food safety Supplier 2 Other JOB FUNCTION (required) 2 QA/QC 2 Operations/Engineer 2 R&D/Product Development 2 Regulatory/Government 2 Management/Executive 2 Chef/Food Prep 2 Sales/Marketing 2 Consultant 2 Media 2 Other PURCHASING AUTHORITY (required) 2 Authorize/Approve 2 Recommend/Specify 2 No purchasing Authority PRIMARY PRODUCT (required) 2 Meat 2 Poultry/Fish 2 Fresh Produce 2 Bakery/Snacks 2 Beverages 2 Dairy 2 Ingrediants 2 Complete Meals 2 Grocery/Retail 2 Other STATE FAX ZIP 2.WHAT SESSIONS WILL YOU BE ATTENDING (Mandatory information –You may substitute sessions on-site) SUNDAY, APRIL 26 8:00 a.m –5:00 p.m. 2 P101 ServSafe® Training TUESDAY, APRIL 28 9:00 a.m –10:30 a.m. 2 T101 Food Defense 2 T102 Better Process Control 2 T103 Regulatory Issues 2 T104 The Global Supply Chain 2:00 p.m –3:30 p.m. 2 T201 Training-That-Works! 2 T202 Solutions-Operators/Retailers 2 T203 Integrating Food Safety System 2 T204 Food Safety Challenges/Solutions 3:45 p.m –5:15 p.m. 2 T301 Meat and Poultry Safety 2 T302 3rd Party Auditing/Certification 2 T303 Today’s Fresh Produce 2 T304 Microbial Quality 2 TRCP Food Quality Award/Reception WEDNESDAY, APRIL 29 8:00 a.m –9:00 a.m. 2 W101 Norovirus 2 W102 3rd Party Auditing/Certification 2 W103 A “Fresh” Look at Irradiation 2 W104 Sanitation/Pest Management 2:00 p.m –3:30 p.m. 2 W201 Legal Issues 2 W202 ISO 22000 Perspectives 2 W203 Produce Traceabilities/Complexities 2 W204 Approaches to Food Safety 3:45 p.m –5:15 p.m. 2 W301 Foodborne Outbreaks/Recalls 2 W302 The Global Food Supply 2 W303 Produce Safety: Standards/Audits MONDAY, APRIL 27 8:00 a.m –5:00 p.m. 2 P101 2 P102 2 P103 2 P104 2 P105 2 MRCP ServSafe® Training (Cont.) Innovative Technologies Successful Food Liability Quantifying/Communication A Reintroduction to HACCP Opening Night Reception 4. SELECT YOUR CONFERENCE PACKAGE 3-DAY FULL PLATINUM PACKAGE (MON, TUE & WED) Includes all conference sessions, meals and events MON, TUE & WED NON-PROFITS (Gov/Milt/Acad) FOR PROFIT (All others) 2 $750 2 $550 2 $550 2 TUE 2 WED 2 $350 2 FREE N/A 2 $345 2 $825 2 $625 2 $625 2 $425 2 $150 N/A 2 $345 2 $975 2 $775 2 $775 2 $575 2 FREE 2 $195 2 $345 2 $1,050 2 $850 2 $850 2 $650 2 $150 2 $195 2 $345 2-DAY GOLD PACKAGE (MON & TUE) Includes all conference sessions, meals and events MON & TUE 2-DAY SILVER PACKAGE (TUE & WED) Includes all conference sessions, meals and events TUE & WED 1-DAY BRONZE PACKAGE Select only one: 2 MON EXHIBIT HALL ONLY EXHIBIT HALL ONLY 2-DAY SERVSAFE® TRAINING AND CERTIFICATION ® Includes all conference sessions, meals and events MON or TUE or WED 5. PAYMENT INFORMATION 2 AMEX 2 MC 2 VISA 2 CHECK ENCLOSED CREDIT CARD # NAME ON CARD EXP DATE SIGNATURE VERIFICATION CODE BRING THE TEAM! 50% OFF ALL ADDITIONAL REGISTRATIONS AFTER THE FIRST TWO (FROM THE SAME ORGANIZATION) HAVE PAID IN FULL* AMOUNT: ZIP/POSTAL CODE $ TOTAL DUE: $ Visit www.foodsafetysummit.com to register * OUR POLICIES: Cancellations received in writing before April 3, 2009 will be refunded, less a $75 processing fee. On/after April 3,2009, no refunds or credits will be issued for any reason, including no-shows. If you cannot attend, you may send a substitute from your organization at no extra cost. Changes: It is sometimes necessary for us to substitute or omit a presenter or program, or to change times of a program or event. Where possible, we will post these changes to our website, www.foodsafetysummit.com. Other: We occasionally use photographs or company names of show participants in our promotional material. By attending, you agree to usage of your likeness or company name in such a manner. Thank you for being our guest at The Food Safety Summit. If you have any questions or comments, please call us at (847) 405-4053. Multiple registrant discount not applicable to ServSafe® training or Exhibit Hall Only registrations. 15 http://www.eshow2000.com/bnpmedia/fsse/2009/register_now.cfm http://www.eshow2000.com/bnpmedia/fsse/2009/register_now.cfm http://www.eshow2000.com/bnpmedia/fsse/2009/schedule.cfm http://www.eshow2000.com/bnpmedia/fsse/2009/register_now.cfm http://www.foodsafetysummit.com http://www.foodsafetysummit.com
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