Convention Registration

This form is to register for the convention. If you are registering a sponsorship, click here.

Early registration ends July 5. After July 5, an additional fee of $50 will be added to all registrations. If you need assistance, please contact the MPGA office at 517-487-2021 or mpga@kdafirm.com

Cancellation Policy *

A full refund less a $25 processing fee will be provided for cancellations received by July 5, 2023. No refunds will be issued after July 5. You may send another individual from your company as a replacement. Registrants are encouraged to send registration changes and cancellations in writing to mpga@kdafirm.com.

First Name *

Last Name *

Company *

Address *

City *

State *

Zip Code *

Phone Number *

Email Address *

Company Type *

Membership Status *

Click here to renew your membership or join MPGA.

Member Registration
Includes all programs, education and planned meal functions. Optional events are a separate registration fee. You may also register for the golf outing using this form. *

Member Registration ($250)

Friday Business Meetings Only (No charge)

Non-Member Registration
Includes all programs, education and planned meal functions. Optional events are a separate registration fee. *

Non-Member Registration ($475)

Registration Code (if you were provided a code to register, please enter it here)

Sponsor Registration Code (If you are a sponsor and were provided a code to register, enter it here)

Convention Events
Please indicate the convention events that you plan to attend. *

Wednesday Education Sessions

Wednesday Reception and Dinner

Thursday Breakfast

Thursday Legislative and Regulatory Program

Thursday Reception and Dinner

Friday Breakfast

Friday Committee Meetings (Members)

Friday Board and Membership Meetings (Members)

Dietary Restrictions

Member Spouse/Guest & Child Registration
Includes all planned meal functions on Wednesday and Thursday. Optional events are a separate fee. Must include a member registration. Spouse/guest is not employed in the propane industry.

Spouse/Guest Registration ($150)

Non-Member Spouse/Guest & Child Registration
Includes all planned meal functions on Wednesday and Thursday. Optional events are a separate fee. Must include a non-member registration. Spouse/guest is not employed in the propane industry.

Spouse/Guest Registration ($475)

Spouse/Guest First Name

Spouse/Guest Last Name

Spouse/Guest Convention Events
Please indicate the convention events that you spouse/guest will attend.

Wednesday Reception and Dinner

Thursday Breakfast

Thursday Reception and Dinner

Spouse/Guest Dietary Restrictions

Would you like to register children or an additional guest for the convention? *

Child and Additional Guest Registration

You may register up to 4 additional attendees.

Registration includes Thursday breakfast and evening events on Wednesday and Thursday.

A number must be entered into each field. Enter zero if you are not registering any children or guests for a registration option.

For additional guests and adult children 21 and over, enter guest in the age field.

Non-Member Adult Child or Additional Guest *

Non-Member Adult Child or Additional Guest

Adult ($475)

Member Adult Child or Additional Guest *

Member Adult Child or Additional Guest

Adult ($150)

Enter quantity (Child 13-17) *

Child Registration (13-17)

13-17 ($150)

Enter quantity (Child 8-12) *

Child Registration (8-12)

8-12 ($100)

Enter quantity (Child 3-7) *

Child Registration (3-7)

3-7 ($50)

Enter quantity (Child 2 and under) *

Child Registration (2 and under)

Child 2 and under (No charge)

Enter Total Children and Additional Guests Registered *

(1) First Name

(1) Last Name

(1) Age or Guest

(1) Please indicate the convention events that this registrant will attend.

Wednesday Reception and Dinner

Thursday Breakfast

Thursday Reception and Dinner

(2) First Name

(2) Last Name

(2) Age or Guest

(2) Please indicate the convention events that this registrant will attend.

Wednesday Reception and Dinner

Thursday Breakfast

Thursday Reception and Dinner

(3) First Name

(3) Last Name

(3) Age or Guest

(3) Please indicate the convention events that this child will attend.

Wednesday Reception and Dinner

Thursday Breakfast

Thursday Reception and Dinner

(4) First Name

(4) Last Name

(4) Age or Guest

(4) Please indicate the convention events that this registrant will attend.

Wednesday Reception and Dinner

Thursday Breakfast

Thursday Reception and Dinner

Do any of these registrants have dietary restrictions? Please list name and restriction.

Current Total:

$0.00