Conference Registration

Registration includes all educational sessions and planned meal functions. Separate registration required for golf.

Early registration ends July 24. After July 24, an additional fee of $25 will be added to all registrations. If you need assistance, please contact the PPGA office at 844-585-4940 or ppga@kdafirm.com

First Name *

Last Name *

Company *

Address *

City *

State *

Zip Code *

Phone *

Email *

Membership Status: *

Marketer

Supplier

Non-Member

Registration: *

Member ($239)

Non-Member ($339)

Below is a list of planned functions. Please indicate if you will be attending.
*Seperate registration required for golf.

Welcome Reception: Wed. *

Yes

No

Breakfast: Thur. *

Yes

No

Dinner: Thur. *

Yes

No

Breakfast: Fri. *

Yes

No

Dietary Restrictions

Spouse/Guest Registration

Spouse/Guest Registration:

Spouse/Guest - Member ($169)

Spouse/Guest - Non-Member ($199)

Guest First Name *

Guest Last Name *

Guest Dietary Restrictions

Below is a list of planned functions. Please indicate if your Spouse/Guest will be attending.
*Seperate registration required for golf.

Welcome Reception: Wed. *

Yes

No

Breakfast: Thur. *

Yes

No

Dinner: Thur. *

Yes

No

Breakfast: Fri. *

Yes

No

Child/Children Registration

How many children will you be registering? *

None

One

Two

Three

Child Registration/s: Indicate Number of Children 0-3

	Child 0-3 yrs. (complimentary)
	Child 4-12 yrs. ($69)
	Child 13-17 yrs. ($109)
	Child 18+ yrs. ($169)

Child 1 First Name *

Child 1 Last Name *

Child 2 First Name *

Child 2 Last Name *

Child 3 First Name *

Child 3 Last Name *

Below is a list of planned functions. Please indicate if your Child/Children will be attending.
*Seperate registration required for golf.

Welcome Reception: Wed. *

Yes

No

Breakfast: Thur. *

Yes

No

Dinner: Thur. *

Yes

No

Breakfast: Fri. *

Yes

No

Dietary Restrictions

Discount Code

Current Total:

$0.00

*

I am agreeing that by registering for this event I will indemnify and hold harmless Pacific Propane Gas Association, its volunteers, employees, and others working on behalf of the Association against any and all claims, demands, suits, or loss, including all costs connected therewith, and for any damages which may be asserted, claimed, or recovered against or from Pacific Propane Gas Association including loss of life, as a result of the pandemic.

Cancellation Policy *

A full refund less a $25 processing fee will be provided for cancellations received by July 17, 2024. No refunds will be issued after July 17, 2024. You may send another individual from your company as a replacement. Registrants are encouraged to send registration changes and cancellations in writing to ppga@kdafirm.com.