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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