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NPGA Southeastern Marketer Registration

NPGA Southeastern States Marketer Members registering at the full conference rate of $220 receive two
complimentary employee registrations. This exclusive offer provides a savings of over $440! This offer is
available exclusively to marketers within the seven southeastern host states (AL, FL, GA, MS, NC, SC, and TN).
Marketers must be a current member of the National Propane Gas Association. One individual must register at the
full conference package rate of $220 to receive the two complimentary employee registrations. Complimentary
employee registrations include access to all three show days. Complimentary employee registrations must be used
by an employee of the member company located within the southeastern states.
All forms due Friday, March 27, 2020; pre-registration is required for this discount.

Primary Registrant

First Name: Last Name:
Marketer Member Company: ______
Title: NPGA SE MARKETER REGISTRATION
Address:
City: State: Zip Code:
Phone: Email:

Complimentary Employee Registrants (all fields required)

1. First Name: Last Name:
Title: Email:

2. First Name: Last Name:
Title: Email:

Payment Information

Payment Amount: $220 (includes one full conference registration and two complimentary employee registrations)
 Check (payable to National Propane Gas Association) Check Number:
 Credit Card  American Express  MasterCard  Visa
Credit Card Number: Expiration Date:
Credit Card Holder:
Signature:
Signature authorizes National Propane Gas Association to charge the amount due.

Submit completed form to NPGA by March 27, 2020
Email: registration@npga.org

GPGA PROPANE MARKETER February 2020 PAGE 9