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2022 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, and must be used by employee(s) of the same member company. Complimentary
employee registrations include access to all three show days.
All forms due Friday, April 15, 2022; registration is required before then for this discount.

Primary Registrant

First Name: Last Name:
Marketer Member Company: ______
Title:
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: _____ Security Code: _________________
Signature:
Signature authorizes National Propane Gas Association to charge the amount due.

Submit completed form to NPGA by April 15, 2022
Email: registration@npga.org

13 Alabama Propane Gas Association | March / April 2022