registration form
Non Profit Org. U.S. Postage PAID Permit No. 1 Arcadia, CA
Association of Fundraising Professionals Greater Los Angeles Chapter 1820 W. Orangewood Avenue, Suite 111 Orange, CA 92868
2011 AFP Regional Philanthropy Conference
Greater Los Angeles Chapter
three easy ways to register:
Online: To pay with a credit card, go to www.afpglac.afpnet.org Mail: To pay by check, please make check payable to AFP-GLAC and mail your completed registration to: Fax:
“Follow The Yellow Brick Road” to the
Association of Fundraising Professionals, Greater Los Angeles Chapter 1820 W. Orangewood Avenue, Suite 111 Orange, CA 92868
2011 AFP Regional Philanthrophy Conference
Complete credit card information below and fax to (714) 744-8975.
step one - contact information:
Thursday, June 9, 2011
Name __________________________________________________________ Chapter _____________________________________________________ Name of Organization _____________________________________________ Title ________________________________________________________ Address _____________________________________________________________________________________________________________________
Pasadena Convention Center $99.00 Member Early Bird Registration
JUNE 9, 2011
City ____________________________________________________________ State __________________________________ Zip _________________
Follow the Yellow Brick Road
Phone __________________________________________________________ *Email _______________________________________________________
*(Required for registration confirmation.)
Credit Card # ______________________________________________________ Expiration Date _________________________________________________
Name on Card _____________________________________________________ Signature ______________________________________________________
step two - conference registration (select one):
Member q Early Bird $99 q After May 16 $125
Non-Member q $145
Luncheon Only q $50
Registrations must be postmarked by Friday, June 3, 2011.
Registration Information: Registration for the Conference will not be taken on-site. Please use one form for each person registering. Refund policy: All refunds are subject to a $20.00 handling fee; there are no conference refunds after May 27, 2011.
to the
AFP REGIONAL CONFERENCE PASADENA CONVENTION CENTER $99 MEMBER EARLY BIRD REGISTRATION
Volunteer Sign-‐Up NAME
1. ____________________________________________________________________
conference highlights
2. ____________________________________________________________________ 3. ____________________________________________________________________ 4. ____________________________________________________________________
Jenny McCarthy - Luncheon Keynote Speaker
5. ____________________________________________________________________
Jenny McCarthy’s honesty, humility and humor 6. ____________________________________________________________________
the fine print
$99.00 Early Bird registration for members is made possible by the Greater Los Angeles Chapter’s commitment to subsidize education opportunities for its members. Ways to Save: The member rate is extended to any AFP chapter member. Applications for AFP-GLAC memberships received prior to the conference are eligible for member rates. For more information on membership, please visit www.afpglac.afpnet.org You get: An unbelievable value! Information that is more pertinent and timely than you will find anywhere else, for less! Registration includes parking, continental breakfast, break snacks, lunch, wine and cheese reception and conference hand-outs. CFRE Credit: Full participation in the Conference is applicable for 7 points of CFRE Credit in Category “1.B—Education” of the CFRE International application for initial certification and/or recertification.
Location:
Pasadena Convention Center • 300 E. Green Street, Pasasdena, CA For more information, e-mail office@afpglac.org or call 714-771-3685. Confirmations will be sent via e-mail.
have enabled her to transcend the boundaries of her roles as comedian, actress, host, best-selling author and influential activist in the world of healing and preventing autism. A highly-regarded 7. ____________________________________________________________________ NY Times Best Selling author, McCarthy’s books include the bestsellers Belly Laughs, Baby Laughs, Life Laughs, Louder 8. ____________________________________________________________________ Than Words: A Mother’s Journey in Healing Autism and Mother Warriors: A Nation of Parents Healing Autism Against All Odds, Healing and Preventing Autism, co-written with Dr. Jerry Kartzinel and Love, Lust & Faking It. Jenny is also 9. ____________________________________________________________________ the co-creator of Teach2Talk, a series of 16 educational DVDs that teach language, behavior and social skills. Jenny is the 10. ____________________________________________________________________ President of Generation Rescue an organization that provides education, medical assistance and treatment for children with autism, directly improving the child’s quality of life for all families in need. Jenny McCarthy currently resides in Los Angeles, California, with her son, Evan.
Luncheon Special Award Presentation
Carol J. Numrich, CFRE
AFP/GLAC Member and Past President will be presented with the Barbara Marion Award for Outstanding Leadership to AFP. Barbara Marion, ACFRE, was the first woman to chair both the AFP and the AFP Foundation for Philanthropy boards of directors and provided leadership to the association in countless areas. The Barbara Marion Award for Outstanding Service to AFP recognizes a member who demonstrates outstanding leadership to the association and/or its related entities, such as the foundation and the AFP Political Action Committee.
7:00 am to 8:00 am Exhibitor Set-up
11:45 am to 1:30 pm Luncheon and Special Award Ceremony
8:15 am to 9:15 am Registration and Continental Breakfast
1:40 pm to 3:55 pm Concurrent Professional Development Sessions
9:15 am to 11:40 am Concurrent Professional Development Sessions
4:00 pm to 5:30 pm Networking Reception Meet colleagues, speakers, funders and exhibitors