Page 13 - may-june 2018_Neat

Name:_________________________________________
Advanced Registration 6SRXVH 6LJQL¿FDQW 2WKHU BBBBBBBBBBBBBBBBBBBBBBBBBB
Alabama/Louisiana Convention Company:______________________________________
Perdido Beach Resort Email:_________________________________________
-XO\ Spouse Email:___________________________________

Single Registration $380 $_________
LQFOXGHV D 5HYHUVH 5D௼H 7LFNHW :HOFRPH 5HFHSWLRQ Cancellation Policy
Dessert Extravaganza and Dinner)
Since we must give a guaranteed
Couple Registration $580 $_________ number of attendees for events
several days in advance, the can-
LQFOXGHV SHU SHUVRQ D 5HYHUVH 5D௼H 7LFNHW :HOFRPH 5HFHSWLRQ cellation policy will be as follows:
Dessert Extravaganza and Dinner)
• Full refund on or before
CONVENTION ACTIVITIES June 11
MONDAY NUMBER ‡ UHIXQG RQ RU EHWZHHQ
Wild Hearts Catamaran Snorkel/Sail $55 ________ $__________ -XQH -XQH
(must register by June 9...need 40 people for private sail) ‡ 1R UHIXQG RQ RU DIWHU -XQH
**If you fax or email your regis-
Extra 5HYHUVH 5DႉH 7LFNHW BBBBBBBB BBBBBBBBBB tration form, you are considered
pre-registered and must call to
TUESDAY cancel your registration.
Fishing $180 ________ $__________
(must register by June 9...there is a 10 person minimum)
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Golf Tournament $150 ________ $__________
(fee includes green fee, cart, drinks, box lunch and prizes)
Names Handicap
___________________________ ________
___________________________ ________
Hangin’ on the Beach $25 _______ $__________
(fee includes ONE cushioned lounge chair with shared umbrella & table, snacks and beverages)
Box Lunch on the Beach $17 _______ $__________ Hotel Information
(box includes sandwich, chips, pickle, cookie delivered to the beach) To make your room reservation at
the Perdido Beach Resort for July
ADDITIONAL TICKETS available for family members/guests not involved in the 8-10, 2018 call:
propane industry and therefore not paying convention registration fees. (800) 634-8001
Be sure to indicate you are
SUNDAY with the Alabama/Louisiana
Welcome Reception (included in registrations above)
Extra Adult Ticket $25 ________ $___________ Convention
Child Ticket (17 and under) Free ________ To make a reservation
on-line, go to:
MONDAY www.perdidobeachresort.com
Dessert Extravaganza (included in registrations above) Under Reservations, enter
Extra Adult Ticket $35 ________ $___________ JURXS FRGH
Child Ticket (17 and under) Free ________ or click here
TUESDAY 5RRP 3ULFHV 6WDUWLQJ DW
Dinner (included in registrations above)
Extra Adult Ticket $120 ________ $___________
&KLOG %XႇHW 7LFNHW XQGHU BBBBBBBB BBBBBBBBBBB ROOM RESERVATION
Child Chicken Plate (12 & under) $18 ________ $___________ DEADLINE
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Total Registration Amount $_____________
Return Form and
NON-MEMBERS - Individuals from non-member companies will be charged a $150 additional Payment to:
convention registration fee. Please add this charge to you Total Registration Amount. Alabama Propane Gas Association
___ MasterCard ___VISA ___American Express ___Discover 0HGLFDO &HQWHU 'ULYH
Name on Card:______________________________________________________ 3UDWWYLOOH $/
Card Number:_______________________________________________________
Exp. Date:________________ Billing Zip Code:___________________ )$;
CVV#:___________________ (last 3 digits on back or 4 digits on front above # for AmEx) lisa@alabamapropane.com
Signature:_____________________________________________

13 Alabama Propane Gas Association | May / June 2018