Convention Registration

The Indiana, Michigan and Ohio Propane Gas Associations are coming together for the 2022 Great Lakes Propane Convention to be held July 26-28 at the JW Marriott in Grand Rapids, MI. Together these associations would like to welcome you to register yourself and your guests below.

Registration includes all educational sessions and planned meal functions.
*An additional $35 will be added to all registrations received after July 17.

Separate registration is required for the Great Lakes Propane Cup Golf Outing, Sporting Clays Outing & Explore Downtown Grand Rapids Outing.

First Name *

Last Name *

Company *

Address *

City *

State *

Zip Code *

Phone *

Email *

Membership Status (check all that apply) *

Member - Indiana Propane Gas Association

Member - Michigan Propane Gas Association

Member - Ohio Propane Gas Association

Non-Member

Company Type *

Marketer

Supplier

Other

Convention Registration *

Full Convention - Member ($245)

Full Convention - Non-Member ($395)

Tuesday Education Only - Member ($125)

Tuesday Education Only - Non-Member ($200)

Late Registration Fee (Required after 7/17/22) *

Late Registration Fee ($35)

Below is a list of planned meal functions. Please indicate if you will be attending.
*Separate registration required for golf and alternate TBD outings.

Welcome Reception & Dinner: Tue., July 26 *

Yes

No

NPGA & PERC Update Breakfast: Wed., July 27 *

Yes

No

Reception, Dinner & Recognition Program: Wed., July 27 *

Yes

No

Breakfast & State Membership Meetings: Thur., July 28 *

Yes

No

Dietary Restrictions

Spouse/Guest Registration

Spouse/Guest Registration: *Must include paid Full Convention Registration to participate and not be employed in the propane industry.

Spouse/Guest Member ($145)

Spouse/Guest Non-Member ($295)

Spouse/Guest First Name *

Spouse/Guest Last Name *

Below is a list of planned meal functions. Please indicate if your Spouse/Guest will be attending.
*Separate registration required for golf and alternate TBD outings.

Welcome Reception & Dinner: Tue., July 26 *

Yes

No

NPGA & PERC Update Breakfast: Wed., July 27 *

Yes

No

Reception, Dinner & Recognition Program: Wed., July 27 *

Yes

No

Breakfast & State Membership Meetings: Thur., July 28 *

Yes

No

Dietary Restrictions

Child/Children Registration

How many children will you be registering? *

Child Registration/s: Indicate Number of Children. *Must include paid Convention Registration to participate.

	Child 0-5 yrs. (Complimentary)
	Child 6-11 yrs. ($50)
	Child 12-17 yrs. ($100)
	Child 18+ ($145)

(1) Child First Name *

(1) Child Last Name *

(1) Child Age *

(2) Child First Name *

(2) Child Last Name *

(2) Child Age *

(3) Child First Name *

(3) Child Last Name *

(3) Child Age *

(4) Child First Name *

(4) Child Last Name *

(4) Child Age *

Below is a list of planned meal functions. Please indicate if your Child/Children will be attending.
*Separate registration required for golf and alternate TBD outings.

Welcome Reception & Dinner: Tue., July 26 *

Yes

No

NPGA & PERC Update Breakfast: Wed., July 27 *

Yes

No

Reception, Dinner & Recognition Program: Wed., July 27 *

Yes

No

Breakfast & State Membership Meetings: Thur., July 28 *

Yes

No

Dietary Restrictions

Great Lakes Propane Chance Auction

Don't miss the opportunity to support association scholarships and PACs by participating in the Great Lakes Propane Chance Auction taking place at the convention. Attendees purchasing tickets will have the opportunity to choose the state programs to support. A variety of items is desired, so there will be something for everyone to win. Examples of past items are sports tickets, gift certificates, sporting goods, gift items, themed gift baskets etc. Monetary donations are also welcome, the committee will purchase an item for the auction on your behalf.

Would you like to donate to the Great Lakes Propane Chance Auction? *

No, I do not wish to participate in the chance auction.

Yes, I would like to donate. Item will be brought to the convention.

Yes, I would like to donate. Item will be received no later than July 12.

Yes, I would like to make a monetary donation.

Please let us know what item you will be donating. *

Please enter the amount of your monetary donation. *

Discount Code

Current Total:

$0.00

COVID-19 Statement: *

I am agreeing that by registering for this Convention I will indemnify and hold harmless Indiana, Michigan & Ohio Propane Gas Associations, its volunteers, employees, and others working on behalf of Indiana, Michigan & Ohio Propane Gas Associations 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 Indiana, Michigan & Ohio Propane Gas Associations, 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 12, 2022. No refunds will be issued after July 12. 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.