Page 13 - may-june 2022

Name:_________________________________________
Advanced Registration Spouse/Significant Other:__________________________

Alabama/Louisiana Convention Company:______________________________________
Perdido Beach Resort Cell Number:____________________________________
JULY 26-28, 2022 Email:_________________________________________
Spouse Email:___________________________________
Single Registration $400 $_________

(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 $600 $_________ several days in advance, the can-
(includes per person 1 Reverse Raffl e Ticket, Welcome Reception, cellation policy will be as follows:

Meetings, Dessert Extravaganza and Dinner) • Full refund on or before
June 30
CONVENTION ACTIVITIES • 1/2 refund on or between
WEDNESDAY NUMBER July 1 - July 11
• No refund on or after July 12
Extra Reverse Raffl e Ticket $50 ________ $__________

**If you fax or email your regis-
THURSDAY tration form, you are considered
Fishing $185 ________ $__________ pre-registered and must call to
(must register by JUNE 25...there is a 10 person minimum) cancel your registration.
(fee includes everything needed to  sh plus food, drinks, tip and  sh cleaning)
Golf Tournament $160 ________ $__________
(fee includes green fee, cart, drinks, box lunch and prizes)
Names Handicap
___________________________ ________
___________________________ ________

Hangin’ on the Beach $30 _______ $__________
(fee includes ONE lounge chair with shared umbrella and snacks/beverages) Hotel Information
(NO BOX LUNCH OPTION...POOL RESTAURANT MENU WILL BE AVAILABLE)
To make your room reservation at
TICKETS WILL BE COLLECTED AT THE DOOR FOR the Perdido Beach Resort for JULY
THE WEDNESDAY AND THURSDAY NIGHT EVENTS. 26-29, 2022 call:
(800) 634-8001
Be sure to indicate you are
with the Alabama/Louisiana
ADDITIONAL TICKETS available for family members/guests not involved in the
propane industry and therefore not paying convention registration fees. Convention
To make a reservation
WEDNESDAY on-line, go to:
Dessert Extravaganza (included in registrations above) www.perdidobeachresort.com
Extra Adult Ticket $40 ________ $___________ Once there, click Book Now
Child Ticket (17 and under) Free ________
and enter
THURSDAY promo/group code: 17997
Dinner (included in registrations above)
Extra Adult Ticket $125 ________ $___________ Room Prices Starting at $259
Younger Person (16 - 20) $85 ________ $___________
Child Buff et Ticket (15 & under) $55 ________ $___________
Child Chicken Plate (12 & under) $30 ________ $___________ ROOM RESERVATION
DEADLINE
June 24
Total Registration Amount $_____________
NON-MEMBERS - Individuals from non-member companies will be charged a $150 additional Return Form and
convention registration fee. Please add this charge to you 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) lisa@alabamapropane.com
Signature:_____________________________________________

13 Alabama Propane Gas Association | May / June 2022