Registration Category By 1/31/26 After 1/31/26 Subtotal Owner/Employee Member $1295 $1595 Spouse/Guest $795 $895 Youth 5-9 $345 $445 Youth 10-18 $595 $695 Optional Activities Please enter registrant’s number (1-4) from above Fees Registrant # Leadership Development Program (Sat, 8 am - 4 pm) $500 Kayak Adventure ( Sat, 1 - 4 pm) $185 Tabletop Exhibit (Mon, 8 - 10:30 am) no charge p Yes p No APCA Golf Tournament (Mon, 1:30 - 6:30 pm) $375 Golf Club Rental (Mon) p M p W | p Right p Left $75 Spouse Breakfast (Tues, 9 - 10:30 am) no charge p Yes p No Catamaran Sail w/ Lunch (Tues, 11:45 am - 4 pm) $350 Total Fees Office Use Only Date In_ _________________ Amount In_ ______________ Confirm__________________ 2026 Convention Registration March 27 - April 1, 2026 Hyatt Regency Coconut Point Resort and Spa Bonita Springs, Florida Registrant Information Register no more than one couple per page (All attendees must be registered) 1. Registrant’s Name Badge Name 2. Spouse/Guest Name Badge Name 3. Youth 1 Name Age Badge Name 4. Youth 2 Name Age Badge Name Company Title Street Address City State ZIP Phone Cell Email Registration Info • Email this registration form to registration@ americanpipeline.org OR • Mail this registration form with payment to: PO Box 638 Churchton, MD 20733 Registration Fees Cancellation Policy There is no charge for cancellations received before 1/31/26. After 1/31/26 and before 2/28/26 there will be a 50% cancellation charge. There will be no refunds after 2/28/26. Questions (703) 212-7745 p Standard Room $399 | p Partial Bay View $459 | p Partial Bay View w/Balcony $479 | p Corner King $479 p King Bed p 2 Queen Beds - Call the APCA office at 703-212-7745 for suite availability, Hotel Registration Credit card is required to reserve rooms. This is a separately charged item. Card Type: p MasterCard p VISA p AMEX Credit Card Number Expiration V-code Cardholder Name Signature Check-in Date Check-out Date APCA Fees Payment must accompany this registration in the form of a check or credit card. Payment must be received by January 31, 2026, for early discount. p Check Please make payable to APCA p MasterCard p VISA p AMEX Credit Card Number Expiration V-code Cardholder Name Signature Credit Card Billing Address p I’m a First-time APCA Convention Attendee Room rates are subject to taxes, service charge and resort fee . Early departures will result in an early departure fee.
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