Office Use Only Date In_ _________________ Amount In_ ______________ Confirm__________________ 2026 Mid-Year Meeting Registration October 14 - 17, 2026 The Broadmoor 1 Lake Avenue Colorado Springs, CO 80906 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 • Email this registration form to registration@ americanpipeline.org OR • Mail this registration form with payment to: APCA PO Box 638 Churchton, MD 20733 Registration Fees All attendees must be registered Questions? (703) 212-7745 Room Type Classic $369 | Superior $389 | Premier $409 Junior Suite $469 | One Bedroom Suite $519 | King Double Room rates are subject to taxes and resort fees. Early departures will result in an early departure fee. Hotel Registration Credit card is required to reserve rooms. This is a separately charged item. Card Type: MasterCard VISA 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, 2026, for early discount. Check Please make payable to APCA MasterCard VISA AMEX Credit Card Number Expiration V-code Cardholder Name Signature Credit Card Billing Address I’m a First-time Convention Attendee Registration Category By 8/31/26 After 8/31/26 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 # Cheyenne Mountain Zoo (Thurs., 1 - 4pm) $75 Garden of the Gods Jeep Tour (Fri., 1 - 5pm) $175 Pikes Peak Cog Railway Tour (Fri., 1 - 5pm) $125 Total Fees
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