Page 16 - may-jun 2023
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Name:_________________________________________
              Advanced Registration                         Spouse/Significant Other:__________________________

                 Alabama/Louisiana Convention               Company:______________________________________
               Hotel Monteleone, New Orleans, LA            Cell Number:____________________________________
                         JUNE 25-27, 2023                   Email:_________________________________________
                                                            Spouse Email:___________________________________
            Single Registration                     $450         $_________

            (includes 1 Reverse Raffl e Ticket, Welcome Reception, Meetings,             Cancellation Policy
            Dessert Extravaganza and Dinner)                                     Since we must give a guaranteed
                                                                                 number of attendees for events
            Couple Registration                     $775         $_________      several days in advance, the cancel-
            (includes per person 1 Reverse Raffl e Ticket, Welcome Reception,      lation policy will be as follows:

            Meetings, Dessert Extravaganza and Dinner)                             • Full refund on or before
                                                                                     May 25th
                             CONVENTION ACTIVITIES                                 • 1/2 refund on or between
            MONDAY                                  NUMBER                           May 26th - June 9th
                                                                                   • No refund on or after June 10th
            Extra Reverse Raffl e Ticket       $50    ________     $__________     **If you fax or email your registration

                                                                                 form, you are considered pre-regis-
            Swamp Airboat Tour               $95       ________          $__________  tered and must call to cancel your
            (Deadline to register is June 1, 2023.)                              registration.
            Steamboat Natchez Sightseeing Tour      $35   ________   $__________

            TUESDAY
            World War II Museum Tour          $40   ________     $__________
            New Orleans School of Cooking     $150   _______     $__________
            (Deadline to register is June 1, 2023.)
            Golf Tournament                   $150  ________     $__________
                   Names                            Handicap

                   ___________________________      ________                           Hotel Information
                   ___________________________      ________                       To make your room reservation
                                                                                    at the Hotel Monteleone for
                                                                                       JUNE 25th-27th call:
               TICKETS WILL BE COLLECTED AT THE DOOR FOR                                1-800-217-2033
                   THE MONDAY & TUESDAY NIGHT EVENTS.                               Be sure to indicate that you are
                                                                                  with the Alabama/Louisiana Propane
            ADDITIONAL TICKETS available for family members/guests not involved in the
            propane industry and therefore not paying convention registration fees.  Gas Association Convention.
            MONDAY                                                                    Online Reservations
            Dessert Extravaganza (included in registrations above)
                 Extra Adult Ticket           $50   ________     $___________    You must use the link below to get
                 Child Ticket (17 and under)     Free   ________                      the special group rate.
            TUESDAY                                                                 Book Your Room Now!
            Dinner (included in registrations above)
                 Extra Adult Ticket           $200   _________   $___________    Room Prices Starting at $165
                 Young Person’s Buff et (10-20)            $160     _________        $___________
                 Child Buff et Ticket (9 & under)   $100  _________   $___________  ROOM RESERVATION DEADLINE
                 Child Chicken Plate (12 & under)   $50       _________   $___________    May 25, 2023

            Total Registration Amount                      $_____________
            NON-MEMBERS - Individuals from non-member companies will be charged a $200 additional   Return Form and
            convention registration fee. Please add this charge to your Total Registration Amount.  Payment to:
                                                                                 Alabama Propane Gas Association
            ___ MasterCard         ___VISA           ___American Express   ___Discover  173 Medical Center Drive
            Name on Card:______________________________________________________         Prattville, AL 36066
            Card Number:_______________________________________________________           334-358-9590
            Exp. Date:________________        Billing Zip Code:___________________      334-358-9520 FAX
            CVV#:___________________ (last 3 digits on back or 4 digits on front above # for AmEx)  laural@alabamapropane.com
            Signature:_____________________________________________



    16                                              Alabama Propane Gas Association  | May / June 2023
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