To register for the 2010 ReFresh Conference, please fill out the form below. If you prefer to fax or mail your form, please click here to download a copy of the registration form.

* = fields required

REGISTRATION INFORMATION

First & Last Name *
Title
Company Name *
Address *
City *
State *
Zip *
E-mail Address *
Phone Number *
ATTENDANCE
For ADC's planning purposes, please indicate what days you would like to attend ReFresh 2010.
Tuesday, October 26th Wednesday, October 27th	Thursday, October 28th Friday, October 29th (Morning Training Session)
	Friday, October 29th – Afternoon Shuttle to ADC’s New Headquarters for Lunch and a Tour
CONFERENCE FEES
Conference fee's will grant attendees access to all conference sessions and optional activities. Please select one of the options below:
Grocery Retailer - No charge for early registration Vendor Partner - $995 per attendee
*Pre-register by September 25, 2010 and lock in an ADC negotiated hotel room rate.
ACCOMODATIONS
Hotel Reservations: A special rate has been negotiated with the Sirata Resort and Conference Center, St. Petersburg Beach, Florida. Be sure to mention ADC'sReFresh 2010 conference to receive your ADC Studio Room rate of $109.00 or ADC One Bedroom Suite rate of $119.00 (based on availability). A block of rooms are reserved for the ADC event and must be booked by September 25, 2010 to receive the special price. Call Sirata Resort @ 1.800.344.5999 or +1 727.363.5100 TODAY!
Events Scheduled Based on Participation: Networking activities will be announced and scheduled during non-conference hours. Contact Jamie Dedel at +1 813.849.1818 ext. 221 for any special activity, meal needs or other requests.
Golf Fishing Tennis Jet Ski Rental	St. Pete Downtown Trip Beach Sports (Volleyball) Other (specify) Other:
Enter Security Code:
PLEASE FAX OR MAIL REGISTRATION FORMS TO: ADC, Inc. 6011 Benjamin Road, Suite 107, Tampa, Florida 33634 Fax: +1 813.849.1823 Phone: +1 800.910.4232 www.ad-c.com