2012 Annual ISBC Offline Registration Form

If you desire to register offline:

1) Complete the registration form below.

2) Return completed registration information with applicable fees.

Last Name: _________________________________

                            (as it appears on your passport)

First Name: _________________________________                             (as it appears on your passport)

Address: ____________________________________________________________

Birth date:______________

Place of birth: _______________

Citizenship:  _________________

Passport Number: ____________________

Tel: ________________

Fax: ________________

Email: _________________________________

Name of company you represent: ______________________________________________

Company's Address: _______________________________________________________

What is the company's primary business?________________________________________

How many years has company been in business? _________________

Company's Website: _________________________________

Company Email: _____________________________________

Are you an Owner?   Partner?   Employee?  Consultant? Other? _________________

Company Tel: ________________________

Company Fax: ________________________

Do you speak English?_________________

Do you speak French? _________________

Do you speak a language other than English or French? If so what language? __________________

What activities are you engaged in within the shea industry?

_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

What do you seek to accomplish by attending this year’s convention?____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Early Bird Registration for general admission is $89.00 before July 1, 2012.

Registration on July 1-September 14 2012 for general admission is $129.00.

Late Registration as of September 15 general admission is $229.00.

General Admission

General admission includes the following topics in our workshops classes and break-out sessions including but not limited to;

1. How to evaluate shea butter, and the international language of quality.2. How to Import Shea Butter Direct from Africa- detailing the process of importing shea butter from Africa to the USA, including US customs

requirements, and instructions on completing necessary paper work.   Attendees will review shipping lines, shipping lanes, freight forwarding and/or air cargo direct from Africa to USA warehouse.

3. How to Comply with U.S. FDA and State of California Regulations

a)         Overview of how U.S. FDA regulates cosmeticsb)         U.S. FDA Establishment Registrationc)         U.S. FDA Cosmetic Product Ingredient Statement (CPIS) Filingsd)         U.S. FDA Labeling Requirementse)         State of California Safe Cosmetics Program Requirements

4. Small Medium Enterprise Shea business Forum – Challenges and Solutions - Designed to provide those who use shea products or are shea enthusiasts a road map to setting up and organizing a better shea butter business model.  This session will provide the attendee tools to start or enhance a productive and successful small business, while providing insights on using value added Shea Butter from a panel of business experts in the shea industry.

a) Retail Big Box accessb) Ecommerce Do’s and Don’tsc) Branding and Marketing in the 21st Centuryd) Identification of development  and business working capital  

Highlighted Coursework Descriptions

Please find the 2012 convention training courses listed below. Please note that some of the courses are included in general admission. The admission fee (if applicable) for each course you select must be added to the general registration fee. You can take none or as many of the courses you desire.

(*) Represents courses where a certificate is issued once course is successfully completed.

Course Number and Title:

(105). (*)Certified Shea Butter Technician

This course is designed to provide attendees a comprehensive understanding of shea butter’s clinical properties and benefits. Emphasis is placed on ingredients, grades types, colors, and sources.  The clinical properties that separate shea butter from all other vegetable oils will be discussed in detail.

Introduction to shea chemistry Understanding Shea Butter The search for certified organic Shea Butter Review of Certificate of Analysis Clinical Properties of Shea Butter Shea Tech Examination

Date: Friday, October 11, 2012 Admission fee: Included with General Admission

Course Number and Title:

(306). Shea Innovation Symposium

The Innovation Symposium Committee of the International Shea Butter Convention (ISBC 2012) welcomes all contributions of original, unclassified and classified high-quality papers relating to innovation in the Shea sector, but specific areas of focus should include science, engineering, technology, commerce or economic fields of discipline. Papers are welcome that focus on specific shea producing countries or the entire Shea Belt as a collective whole.

Date: Saturday, October 12, 2012 Admission fee: Included with General Admission

Course Number and Title:

(101) Shea Formulation Workshop

The Natural Product Formulation Course 101 is designed to provide scientific approaches to the development of skin and hair product formulations that work. This course is well suited for individuals interested in developing product formulas; including those who currently have a proposed formula and desire assistance to inform formulation criteria to those interested in education in formulation science and designing specific products for hair and skincare lines. The course provides fundamentals in product formulations based on science and applied chemistry. This course will provide time for attendees to experiment on their own formulation ideas, under the guidance and structure of applied chemistry from formulation experts. Segments include formulation training, product development, with FDA guidelines provided alongside information about ingredient testing and grading.

Date: Saturday, October 12, 2012Certification exam given on Saturday 3:00 PM October 15, 2011Additional admission fee: $99.00

Course Number and Title:

(512). (*) ASBI Post Extraction Management Course

This course is designed to provide attendees the necessary knowledge to preserve the quality of shea butter in the post-extracted period. For example, studies at ASBI have shown that 89% of shea butter-leaving Africa is already rancid. This finding represents the single most significant disincentive for unrefined shea butter’s use in the global cosmetic in industry. Solving this problem opens many sales opportunities for producers. This course will provide the attendees the technical training to manage high quality shea butter once extraction is completed; thereby, increasing the likelihood for improved success on the international market.

Date: Thursday, Friday, and Saturday October 13-15, 2011Certification exam given on Saturday 3:00 PM October 15, 2011Additional admission fee: $ 699.00

Registration Types General Admission Shea Technician Certification

Shea Innovation Symposium

Post Extraction Management Certification

Custom Shea Formulation 101

Workshop

Shea Market Expo and Showcase

Price

Option 1: General Admission

$89.00

Option 2: General Admission, Plus Formulation

$238.00

Option 3: General Admission, Plus PEM

$788.00

Option 4: General Admission, Plus Formulation & PEM

$887.00

Option 5: Custom Shea Formulation Workshop 101 without general admission

$149.00

**Please note that you must include the amount for your hotel accommodations priced at 140 USD per night for three (3) nights**

Lodging and Accommodations:

1) Hotel reservations for recommended hotels are below:

 Atlanta Airport Marriott Gateway or Spring Hill Suites Atlanta Airport  (2) Hotel Accommodations:

We recommend a minimum of three (3) nights in the hotel @ $140 per night.

Below find three (3) additional methods for payment of fees once you submit your registration information above.   You may submit registration and other documents, email or or postal service via USPS.

 Paying Fees by Bank to Bank wire Transfer?

1) Return the registration form by email to convention@sheainstitute.com, state you wish to pay fees by Bank-to-Bank wire transfer.2) Ask for instructions for bank-to-bank transfer.

Paying Fees by Western Union Money Transfer?Follow Four Easy Steps below:1) Return the registration form by email to convention@sheainstitute.com, state you wish to pay fees by Western Union money transfer.2) We will send you, by return email, instructions on to whom and where to send payment.3) Send Western Union money transfer only after you have received proper instructions from us.4) Confirmation of receipt of your payment will be sent by email.

Paying Fees via US Postal Service?

  * We accept US Postal Money Orders only.   * We accept checks drawn only on US Banks.  * Make all checks and money orders payable to the International Shea Butter Convention.  * Send check or money order with your convention registration form to the address shown below.   * Mail post marked after September 15, 2012 is subject to being returned.

Return the registration form with your check or money order to:

Attention:Convention Registrar

American Shea Butter InstitutePO BOX 132

Columbus, GA. 31902 Tel: 706.682.4982

Email: convention @sheainstitute.com innovation@sheainstitute.com

Website: www.internationalsheaconvention.comwww.sheabutterconvention.com

www.isbc2012.com

We appreciate your interest in registering for the 2012 10th Annual ISBC Convention and look forward to meeting you in October!