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Spring 2012 Registration From<br />

CPE Administrator's Workshop<br />

March 22, 2012: 1:00pm - 5:00pm<br />

Complimentary Dinner: 5:30pm - 7:30pm<br />

March 23, 2012: 7:30am - 12:30pm<br />

-----------------------------------------------------------------------------<br />

ACPE Office<br />

135 S. LaSalle - Suite 4300<br />

Chicago, IL 60603<br />

<strong>First</strong> <strong>Name</strong> <strong>Last</strong> <strong>Name</strong> <strong>Suffix</strong>/<strong>Degree</strong><br />

<strong>Title</strong><br />

<strong>Provider</strong> <strong>Number</strong>:<br />

<strong>Provider</strong> <strong>Name</strong><br />

Telephone Fax Email Address<br />

Complimentary Dinner<br />

Yes, I will attend the complimentary networking dinner at Italian Village on March 22, 2012 5:30pm - 7:30pm. The restaurant is<br />

located at 71 W. Monroe, Chicago, IL 60603-4910 and is within walking distance of the ACPE office. Please note that ACPE needs to<br />

give the restaurant a guaranteed count 72 hours prior to the dinner. If you decide later not to attend, please let ACPE know prior to<br />

the 72 hour deadline.<br />

Thursday, March 22, 2012<br />

11:00 am -12:30pm: Continuing Professional Development Concepts and Components (Optional Session)<br />

1:00pm - 4:45pm: ACPE Policies and Procedures, Competencies for CPE Administrators and Standards for Commercial Support<br />

5:30pm - 7:30pm: A complimentary networking dinner will be held.<br />

*Snacks will be served throughout the afternoon<br />

Friday, March 23, 2012<br />

7:30am - 8:00am: Continental breakfast<br />

7:45am - 8:30am: Web Tool Tutorial (Optional)<br />

8:00am - 12:30pm: Standards for CPE<br />

**Please do not make flight arrangements that depart before 2:30pm.<br />

Please list any medical or other special ADA needs<br />

Registration fee for this workshop is $350.00<br />

This fee includes all workshop materials, continental breakfast, snacks and the networking dinner. Full payment must accompany<br />

this registration form to reserve your place at the workshop. Seating is limited to thirty (30) and will be reserved on a first come-first<br />

serve basis. Confirmation of registration will be given, via e-mail, upon receipt of payment (we do not accept credit cards). Please do<br />

not make any non-refundable arrangements until you have received a written e-mail confirmation. The fee is non-refundable, unless<br />

written notice is given to ACPE thirty (30) days prior to the start of the workshop.<br />

Attached is a list of hotels that are within walking distance or a short cab ride from the ACPE office.<br />

To book your overnight accomodations, please contact the hotel of your choice directly.<br />

Please mail your completed registration form (including payment) to:<br />

Accreditation Council for Pharmacy Education<br />

Attention: Cynthia Avery<br />

135 S. LaSalle<br />

Suite 4100<br />

Chicago, IL 60603<br />

Please direct all registration questions to Cynthia Avery at (312) 664-3575<br />

This registration form will serve as your invoice<br />

Check (payable to Accreditation Council for Pharmacy Education) EFT Purchase Order


Suggested Hotels<br />

Hotels (Loop area, short walk to ACPE Office)<br />

Hampton Majestic Hotel<br />

22 West Monroe<br />

Chicago<br />

Phone: 312-332-5052<br />

Web site:www.hamptonmajestic.com<br />

Hotel Allegro<br />

171 West Randolph Street<br />

Chicago<br />

Phone: 312-236-0123 / Toll-free reservations: 800-643-1500<br />

Web site:www.allegrochicago.com<br />

Hotel Burnham<br />

One West Washington Street<br />

Chicago<br />

Phone: 312-782-1111 / Toll-free reservations: 877-294-9712<br />

Web site:www.burnhamhotel.com<br />

JW Marriott<br />

151 W. Adams Street<br />

Chicago<br />

Phone: 312-660-8200 / Toll-free reservations: 888-717-8850<br />

Web site: www.marriott.com<br />

Hotels (cab ride to ACPE office)<br />

Hilton Garden Inn<br />

10 East Grand Avenue<br />

Chicago<br />

Phone: 312-595-0000<br />

Web site:www.hiltongardeninn.com<br />

Hilton Suites<br />

198 East Delaware Place<br />

Chicago<br />

Phone: 312-664-1100<br />

Web site:http:// www1.hilton.com<br />

Wyndham Chicago<br />

633 North St. Clair<br />

Chicago<br />

Phone: 312-573-0300<br />

Web site:www.wyndhamchicago.com<br />

Sheraton Chicago<br />

301 East Water Street<br />

Chicago<br />

Phone: 312-464-1000 / Toll-free reservations: 847-242-2558<br />

Web site:www.sheratonchicago.com<br />

The Silversmith<br />

10 South Wabash Avenue<br />

Chicago<br />

Phone: 312-372-7696<br />

Web site:www.silversmithchicagohotel.com<br />

Hotels (longer walk, or short cab ride to ACPE Office)<br />

Holiday Inn Chicago Mart Plaza<br />

350 West Mart Center Drive<br />

Chicago<br />

Phone: 312-836-5000<br />

Web site:www. martplaza.com<br />

Hotel Monaco<br />

225 North Wabash<br />

Chicago<br />

Phone: 312-960-8500 / Toll-free reservations: 866-610-0081<br />

Web site:www. monaco-chicago.com<br />

Hotel 71<br />

71 East Wacker Drive<br />

Chicago<br />

Phone: 312-346-7100<br />

Web site:www.hotel71.com<br />

Hyatt Regency Chicago<br />

151 East Wacker<br />

Chicago<br />

Phone: 312-565-1234<br />

Web site:www.chicagoregency.hyatt.com<br />

Swissotel Chicago<br />

323 East Wacker Drive<br />

Chicago<br />

Phone: 312-565-0565<br />

Web site:www.swissotelchicago.com

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