2013 Anchor Leadership SummitSheraton New Orleans, July 10 - 14, 2013

REGISTRATION FORM

2013 Anchor Leadership SummitSheraton New Orleans, July 10 - 14, 2013

Parent/Chaperone

Registration Fee $50

[Registration Fee includes Business Meetings,

Anchor Materials & Pizza Party. Luncheons and

Anchor Tours additional charge.]

Anchor

Registration Fee $235*

[Registration Fee includes General Sessions,

Business Meetings, Anchor Materials, 2 Luncheons,

Cooking School Tour & Pizza Party]

* After June 1 - $352.50

EXTRA LUNCHEON TICKETS

$60 each

Please specify number of additional tickets

required, and add to registration total.

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Complete if paying by Credit Card (add $5 to total amount for credit card processing fees):

VISA MASTERCARD AMERICAN EXPRESS

Account Number Exp. Date

CSC#Name on Card

Chaperoned Anchor New Orleans Tours

Please indicate number of tickets required.

Early registration required as space is limited.

New Orleans School of Cooking • Friday, July 12th $35/ea

DINNER EVENT: INCLUDED IN ANCHOR REGISTRATION FEE

Learn how to create [and EAT] New Orleans famous’ creole cuisine from some of the best and most entertaining

chefs in New Orleans.

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Voodoo Tour • Wednesday, July 10th $20/ea

Touted as one of the hottest events for teens in New Orleans!

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Please fill out the following summary to de-

termine your registration fee total. Enclose a

check for the total amount OR complete the

required credit card information box at the bot-

tom of this page. Registration is not complete

until payment is received. Please contact the

hotel directly to reserve and pay for your room.

Basic Registration Fee Amount:

Late Fee (If Applicable):

Add $5 if paying by credit card:

REGISTRATION TOTAL:

$_____

+ $_____

Extra Luncheon Ticket

Amount Total: + $_____#___

TICKETS

@$60/ea =

Optional Guided Tour Ticket

Amount Total: + $_____#___

TICKETS

@$____ /ea =

+ $_____

= $_____

2013 Anchor Leadership SummitRegistration Fee Summary

CHECK ENCLOSED:

PAYING BY CREDIT CARD:

*** See information below. ***

2013 Anchor Leadership Summit Registration Fee Summary

(FIRST NAME) (LAST NAME) (PREFERRED NAME FOR BADGE)

MAILING ADDRESS

CITY STATE ZIP DAYTIME PHONE

Anchor Club of (specify above) DISTRICT

Do you require special assistance? If so, please describe.

Emergency Contact Name & Phone Number

ARRIVAL DATE: JULY 8 JULY 9 JULY 10

DEPARTURE DATE (please specify):

PREFERRED EMAIL ADDRESS CELL PHONE

Friday

Saturday

“The Brilliance of Service,

The Gift of Self”

“Celebrate Excellence”

Anchor Advisor

Registration Fee $185

[Registration Fee includes General Sessions, Busi-

ness Meetings, Anchor Materials, 2 Luncheons &

Pizza Party. Anchor Tours additional charge.]

IMPORTANT HOTEL INFORMATIONIn order to avoid being charged an extra $35 by the hotel, please be sure to book your room in one occupant’s name and

ONE OCCUPANT’S NAME ONLY. Many hotels are currently charging an extra $35 fee if rooms are booked in more than

one name. This is a charge you can and should avoid. The single person in whose name the room is booked is responsible

for picking up all keys for any additional occupants at check-in.

Room rates at the Sheraton New Orleans hotel are $139 plus tax per night for

conference attendees. The rate is good for three days prior and three days after

the event. Parking charges are $26.60/per day which

INCLUDES the discount given for conference attendees.

If you choose to stay at a hotel OTHER than the convention hotel, please add $100 to each registration

fee. Our complimentary meeting space is based on the number of Pilot rooms sold at the convention hotel. CANCEL-

LATION POLICY: Registration fee - less $75.00 handling charge - will be refunded if your written cancellation is

received by Pilot International Headquarters by June 1, 2013.

Send one completed Registration Form for each individual registering to:

Pilot International Headquarters, 102 Preston Court, Macon, GA 31210, or FAX (478) 477-6978, or register online at www.pilotinternational.org (click on the “2013 PI Conven-

tion” heading). Checks payable to Pilot International or applicable Credit Card information as requested on the Registration Form must accompany registration.

Hotel reservations may also be made online through the Pilot International website, or you may call Sheraton New Orleans (1-888-627-7033).