Document 1 of Professional Embalming Skills Presents its: 2 nd Biennial International Embalming and Reconstructive Surgery Conference for Professional Embalmers Theme: Dedicated to the Value of Open Casket Viewing August 2 5, 2012 (17 Contact hours) Location: Holiday Inn & Suites North & Conference Center 2720 North Glenstone Avenue Presented and Hosted by: Vernie R. Fountain, Founder The Entire Conference will be Focused on Embalming and Reconstructive Surgery Copyright FNA-Vernie R. Fountain -2012 Page 1 of 8
Document 1 Continued: Goals: Learn new valuable techniques from several speakers Share ideas & techniques with colleagues from around the world Make new friends and see friends that you met at the 2010 Conference Have a lot of fun, learn and relax We hope you will leave being GLAD that you attended and looking forward to the next conference Purpose & Concept This international conference is designed specifically for the professional embalmer. It will present the largest amount of technical skill information in one place at one time anywhere in the world. Fountain National Academy (FNA) did not design this program to compete with any other state or national convention or educational programs. FNA simply wants to offer embalmers the chance to learn new techniques, and acquaint themselves with embalming product capabilities and network with colleagues from around the world. At our 2010 Conference embalmers from 10 countries and over 25 states attended. There will be some table-top exhibits displaying only items related to the theme and intent of the conference - no caskets, urns or non-related items will be displayed. FNA reserves the sole right to examine/analyze and approve or reject any speaker and/or subject material. All subject matter must fit within the intent of the conference. Plan to arrive on Thursday August 2 to attend the opening session and evening events. Due to space availability at the Convention Center registrations will be accepted on a first-come-first-served basis for the first 200 embalmers. Early enrollment is advised. If you can t attend you will receive a 100% refund of your registration fees. Dress will be casual for the entire conference EXCEPT we ask that you wear professional business attire for the group photo to be taken during lunch Friday - August 3, 2012. We will gladly answer any questions you may have and your call is without any obligation. Sincerely, Vernie R. Fountain, Founder, Embalmer, CFSP, Post Mortem Reconstructive Specialist of Professional Embalming Skills E-Mail: vrfountain@earthlink.net Website: www.fnacademy.com (Continued on next page) Copyright FNA-Vernie R. Fountain -2012 Page 2 of 8
Document 1Continued: Other Items of Interest: FNA Selected Speakers: FNA has hand picked FNA Selected Speakers to conduct approximately 17 hours of technical lectures. Exhibitor Speakers: A limited number of exhibitors will be allowed, if the speaker and lecture is approved by FNA, to present 30-minute presentations about products and product uses. Video or Audio Recording will NOT be allowed. Still photos are allowed. Photos of any case pictures displayed on the screen during a lecture will NOT BE allowed. Interpreters: All lectures will be performed in English language. If any person or group needs an interpreter FNA will assist in locating such. However all fees charged by the interpreter(s) must be paid in advance by the participant(s) Travel: If you are flying commercial airlines you can fly into: Option 1: Springfield/Branson Airport (about 10 minutes to the Holiday Inn Convention Center & Hotel) Option 2: Branson Airport, Branson, Missouri (about 1-hour drive to Springfield) Option 3: St. Louis Lambert Airport in St. Louis, Missouri (about a 3-4 hour drive to Springfield, MO) Option 4: Tulsa Airport in Tulsa, Oklahoma (about a 3 hour drive to Springfield, MO). Be sure to check which airport will give you the best rate. Sorry but FNA does not provide shuttle to/from the Airport. Plan to arrive on Thursday August 2 to attend the opening ceremonies and events. Some area attractions are: Branson Theater shows (only 35 miles from Springfield), and in Springfield - Bass Pro Shop's National Headquarters, Fantastic Caverns, Exotic Animal Paradise, Dickerson Park Zoo, lots of shopping areas and many more. Springfield, Missouri has a population of around 160,000. In August the weather is expected to be very warm. Lodging: Don t forget to make your Hotel Reservation EARLY (many months in advance) to ensure room availability. You can always cancel, within hotel policy, if necessary. It is BEST to call the local Holiday Inn & Suites Hotel direct. Be sure to ask for: the IN-House Reservations Clerk and the or (FNA) Corporate Rate Holiday Inn Hotel rate for FNA is approximately $94.00 + taxes per night (subject to change) There are numerous other hotels, restaurants & shopping within easy walking distance from the conference center. Holiday Inn Hotel & Convention Center - Phone: 417-865-8600 2720 North Glenstone Avenue Copyright FNA-Vernie R. Fountain -2012 Page 3 of 8
Additional Hotel/Motel List 2012 Conference Each seminar participant is expected to make his/her own room reservations. Listed below are a few of the hotels/motels that are located at Exit 80A (Glenstone Ave) and Interstate-44. They are within walking distance of the Holiday Inn Suites Convention Center where the International Conference will be held. There are also shopping areas and eating facilities within a short walking distance of each. Springfield has many other lodging facilities not listed here. Unless specified in this list there are no discounts offered for FNA participants. However we suggest you negotiate or ask for any discounts they may offer such as, AARP, AAA, Senior Citizens, length of stay, weekend rates etc. Cab fares from the Springfield/Branson Airport to these hotels are around $15-20.00 one way. Check the Internet for additional hotels This hotel is recommended by FNA: Almost all Conference participants will be staying here. This is the location of the International Conference Holiday Inn & Suites North & Convention Center 2724 North Glenstone (Rate is subject to change without notice.) Springfield, Missouri Phone: 417-865-8600 IMPORTANT! - (When you call ask to speak to the IN-HOUSE RESERVATIONS CLERK & ask for the or FNA Corporate Rate) Rate: 1 person = $94.00 + Tax - Includes free breakfast The Holiday Inn operates Free Shuttle to/from the Springfield/Branson Airport. Operates 5:30 AM-11PM daily This beautiful Hotel has all the amenities, food, pool, sauna, whirlpool, lounge and an exercise room. IMPORTANT: We Recommend you make your hotel reservations many months in advance to ensure room space. You can always cancel, if necessary, according to hotel policy. Double Tree Hotel, 2431 North Glenstone, Springfield, Missouri Phone: 417-831-3131 Americas Best Value Inn-Springfield Inn, 2355 North Glenstone, Springfield, Missouri Phone: 417-866-6776 (Said to be around $40.00/ night) You may want to check it out on the web. Red Lion Inn, 1610 E. Evergreen, Springfield, Missouri Phone: 417-520-8800 Hampton Inn & Suites, 2750 N. Glenstone, Springfield, Missouri Phone: 417-869-5548 Krystal Aire Inn, 2745 N. Glenstone, Springfield, Missouri Phone: 417-869-0001 Lamplighter Inn North, 2820 N. Glenstone, Springfield, Missouri Phone: 417-869-3900 Red Roof Inn, 2655 N. Glenstone, Springfield, Missouri Phone: 417-831-2100 Ozark Inn, 2601 N. Glenstone, Springfield, Missouri Phone: 417-865-6565 Oasis Hotel & Convention Center, 2550 N. Glenstone, Springfield, Missouri Phone: 417-866-5253 Ground Transportation Blue Taxi- 417-865-2583 Copyright FNA-Vernie R. Fountain -2012 Page 4 of 8
NOTE: CEU s for this conference will be applied for through the Academy of Professional Funeral Service Practice (APFSP) ONLY. You will need to check with your State to see if it accepts APFSP approval. Document 3 (3-Pages) -Registration Form - International Conference August 2-5, 2012 PLEASE PRINT CLEARLY or TYPE THE INFORMATION (REGISTER EARLY TO SAVE FEES) Full Name: Current Date: (First) (Middle) (Last) Your complete mailing address: City: State/Country: Zip: Your main Contact Phone number: (work) Cell: E-Mail Address: @ Employer Name: Employer Complete Address: Employer Website: Employer Phone: ( ) Fax: ( ) If applicable for you place a check mark in your category: Category 1: [ ] I am a licensed or qualified embalmer in the State(s), country of: (Include all License Numbers): Years you have been Licensed/Qualified: Category 1: [ ] I am an apprentice embalmer in the State or country of: Category 2: [ ] I am a Mortuary Science Student currently enrolled in: ---- (Name of School) (Mortuary Science Students must provide a letter from school or photo ID that acknowledges enrollment in an accredited Mortuary Science program). Copyright FNA-Vernie R. Fountain -2012 Page 5 of 8
Document 3 Continued: To Qualify for Early Bird Discounted Registration Fees Register before June 1, 2012 and Save Fees! Place a check mark in your attendance Category: Category 1: Licensed or Qualified Embalmers & Apprentice or Intern Embalmers: [ ] Full Conference before June 1, 2012 = $545.00 [ ] Full Conference after June 1, 2012 =$695.00 [ ] Daily Rate =$360.00 Category 2: Mortuary Science Students: [ ] Full Conference before June 1, 2012=$150.00 [ ] Full Conference after June 1, 2012=$200.00 [ ] Daily Rate=$95.00 Mortuary Science Students must submit proof of current enrollment in an accredited Mortuary Science Program. Category 3: Exhibitor Registration Fee: [ ] Full Conference before June 1, 2012= $175.00 per each person representing the company and working the exhibit. [ ] Full Conference after June 1, 2012=$225.00 per each person representing the company and working the exhibit. Category 3 is limited to two persons per exhibit. Any additional company representatives will pay the registration fee rate as stated in Category 4 Category 4: [ ] All other persons not in categories 1, 2, or 3 listed above: [ ] Full Conference before June 1, 2012=$545.00. [ ] Full Conference after June 1, 2012=$695.00 [ ] Daily Rate=$360.00 Category 5: Non-Licensed Spouse: [ ] No registration fee except spouses will be asked to pay a minimal fee for any unsponsored meals. This can be paid at the door. All persons attending (except non-licensed spouses) will pay a registration fee. The amount will be dependant upon their category. Copyright FNA-Vernie R. Fountain -2012 Page 6 of 8
Document 3 Continued: Refund Policy (New for 2012) If you need to cancel call FNA at 417-833-5130 or e-mail Vernie R. Fountain at vrfountain@earthlink.net to request a refund. If you cancel 2-days or more prior to the beginning day (August 2, 2012) of the Conference you will receive a 100% cash refund. If you cancel less than 2-days before (August 2, 2012) or at some time after the conference begins the refund will be prorated. No Shows or no contacts with FNA requesting cancellation will not be eligible for a refund. Refunds will be mailed to you within 30 days of the close of the conference. FNA, may at its discretion, offer a 100% cash refund for any cancellation situation. In the event of acts of God or conditions out of the control of FNA and the Conference is cancelled by FNA a 100% refund of Registration fees will be offered. No reimbursement for any other expenses will be offered to registrants. I am registering to attend the 2012 International Embalming and Reconstructive Surgery Conference for Professional Embalmers in Springfield, Missouri, USA and acknowledge that I have read and understand the registration and refund policies for this conference. Signed: Current Date: Registration Fee Enclosed $ (Payment must be in United States dollars) Fees and equipment costs for Interpreters must be Pre-paid by the respective attendees needing such services. Instructions: 1. Complete Document 3 2. Make check, money order or travelers checks payable to (Sorry, Credit cards not accepted) 3. Mail all pages of Document 3 and your payment to: 4. Upon receipt of this form FNA will, via e-mail, send you confirmation of your registration and a receipt Don t forget to make your Hotel Reservation EARLY (many months in advance) to ensure room availability. You can always cancel, within hotel policy, if necessary. Call the Hotel Direct & Ask for the IN-HOUSE Reservations Clerk and ask them for Fountain National Academy Corporate Rate Holiday Inn & Suites Hotel & Convention Center 2720 North Glenstone Avenue Phone: 417-865-8600 Copyright FNA-Vernie R. Fountain -2012 Page 7 of 8
International Conference Registration Instructions To Register for this International Conference: (Register Early to Save Fees!) Early bird discount ends June 1, 2012 1. Print Document 3- (all 3 pages) of Registration Form International Conference 2. Complete (Please Type or Print Clearly) Document 3- Registration Form International Conference. 3. Enclose Payment or arrange payment with FNA (All payments must be in US Dollars) (Sorry we do not accept credit or debit cards at this time) 4. Mail it to FNA at the address on the form. 5. Upon receipt of the form and payment FNA will e-mail you a receipt. If you have any questions please feel free to call FNA at 417-833-5130 Thanks Vernie R. Fountain, Embalmer Copyright FNA-Vernie R. Fountain -2012 Page 8 of 8