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Advanced Registration                         Name:_________________________________________
                                                               Spouse/Significant Other:__________________________
                    Alabama/Louisiana Convention               Company:______________________________________
                   Pensacola Hilton, Pensacola, FL             Cell Number:____________________________________
                        JUNE 29 - JULY 2, 2026                 Email:_________________________________________
                                                               Spouse Email:___________________________________
                Single Registration                  $450        $_________
                (Includes: 1 Reverse Raffle 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 Raffle Ticket, Welcome Reception,   lation policy will be as follows:
                Meetings, Dessert Extravaganza, and Dinner.)                      • Full refund on or before
                                                                                    May 15th
                                CONVENTION ACTIVITIES                             • 1/2 refund on or between
                TUESDAY                              NUMBER                         May 16th and 31st
                Extra Reverse Raffle Ticket       $50   ________   $__________    • No refund on or after June 1st
                                                                                **If you fax or email your registration
                Dolphin Cruise                 $45       ________          $__________  form, you are considered pre-regis-
                (Deadline to register is June 1, 2026.)                         tered and must call to cancel your
                                                                                registration.
                WEDNESDAY
                4 hr. In-Shore Fishing Trip    $200   ________   $__________
                (Deadline to register is June 5, 2026.)
                Hangin’ on the Beach Day       $35   _______     $__________
                (Includes 1 beach chair, 1 shared umbrella, snacks and beverages.)
                Golf Tournament                $160   ________   $__________
                (Includes green fee, cart, boxed lunch, drinks, and prizes.)
                (Deadline to register is June 12, 2026.)
                      Names                          Handicap
                      ___________________________    ________                        Hotel Information:
                      ___________________________    ________
                                                                                  To make your room reservation
                  TICKETS WILL BE COLLECTED AT THE DOOR FOR                      at the Pensacola Beach Hilton for
                       TUESDAY & WEDNESDAY NIGHT EVENTS.                           JUNE 29th - JULY 2nd call:
                                                                                      1-888-446-6677
                ADDITIONAL TICKETS (Available for family members/guests not involved in the propane   Group Code: 91C
                industry and therefore not paying convention registration fees.)   Be sure to indicate that you are
                TUESDAY                                                          with the Alabama/Louisiana Propane
                Dessert Extravaganza (included in registrations above)              Gas Association Convention.
                     Extra Adult Ticket        $50   ________    $___________
                     Child Ticket (17 and under)     Free   ________                Online Reservations:
                WEDNESDAY                                                       You must use the link below to get
                Dinner (included in registrations above)                             the special group rate.
                     Extra Adult Ticket        $200   _________   $___________
                     Young Person’s Buffet (10 - 20)   $160   _________   $___________  Book Your Room Now!
                     Child Buffet Ticket (9 & under)   $75    _________   $___________
                     Children’s Chicken Plate (9 & under)  $50    _________   $___________  Room Prices Starting at $285
                                                                                 ROOM RESERVATION DEADLINE
                Total Registration Amount                  $_____________               May 25, 2026
                                                                                      Return Form and
                NON-MEMBERS - Individuals from non-member companies will be charged $200 in addition to the
                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 2026
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