APCA 2022 Mid-Year Meeting

Office Use Only Date In_ _________________ Amount In_ ______________ Confirm__________________ 2022 Mid-Year Meeting Registration October 5 - 8, 2022 The Roosevelt New Orleans New Orleans, LA Registrant Information Register no more than one couple per page 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 Please complete this form and email it to registration@ americanpipeline.org. After your registration has been processed, you will receive a link to The Roosevelt reservation page. Registration Fees All attendees must be registered Questions? (703) 212-7745 Room Type p Deluxe Room $309 | p King-One Bedroom Suite $409 | p King Bed p 2 Queen Beds Room rates are subject to taxes and service charge. Early departures will result in an early departure fee equal to 1 night’s room rate. 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 Payment must accompany this registration in the form of a check or credit card. Payment must be received by August 31, 2022, 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 Convention Attendee Registration Category By 8/31/22 After 8/31/22 Subtotal Owner/Employee Member $750 $900 Spouse/Guest $500 $650 Youth under 10 $0 $0 Youth 10 -18 $350 $450 Optional Activities Please enter registrant’s number (1-4) from above Fees Registrant # French QuarterWalkingTour (Thurs, 12:30 - 3:30 pm) $110 SwampTour (Thurs, 12:30 - 4 pm) $135 Culinary & Cocktail Tour (Fri, 12:30 - 3:30 pm) $125 Cooking Demo (Fri, 12:30 - 3:30 pm) $65 Total Fees

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