subject_line
Registration
First Name
*
Last Name
*
Company
*
Street Address
*
City
*
State
*
Other (Canada)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address (person to receive ALL event communication)
*
Membership Status:
*
Member - Supplier
Member - Marketer
Non-Member - Supplier
Non-Member - Marketer
DRIVER Registration: Complimentary
First Name
Last Name
T-Shirt Size (S, M, L, XL, XXL)
Driver 1
First Name
Last Name
T-Shirt Size (S, M, L, XL, XXL)
Driver 2
First Name
Last Name
T-Shirt Size (S, M, L, XL, XXL)
Driver 3
First Name
Last Name
T-Shirt Size (S, M, L, XL, XXL)
Driver 4
First Name
Last Name
T-Shirt Size (S, M, L, XL, XXL)
Driver 5
First Name
Last Name
T-Shirt Size (S, M, L, XL, XXL)
Driver 6
First Name
Last Name
T-Shirt Size (S, M, L, XL, XXL)
SPECTATOR Registration: Complimentary (managers/owners/employees)
First Name
Last Name
T-Shirt Size (S, M, L, XL, XXL)
Attendee 1
First Name
Last Name
T-Shirt Size (S, M, L, XL, XXL)
Attendee 2
First Name
Last Name
T-Shirt Size (S, M, L, XL, XXL)
Attendee 3
First Name
Last Name
T-Shirt Size (S, M, L, XL, XXL)
Attendee 4
First Name
Last Name
T-Shirt Size (S, M, L, XL, XXL)
SPONSORSHIP Registration
Gold ($1,000)
Silver ($500)
Bronze ($100)
Lunch Sponsor ($500)
Monetary Donation
Monetary Donation Amount
*
The deadline for sponsor company logo to be included on event T-shirt has passed.
*
I understand
The IPGA Bobtail Roadeo will consider all in-kind donations and sponsorships that provide benefit to the attendees. Please contact lauren@kdafirm.com to discuss options other than sponsorship levels shown above.
Supplier Company Attendee Registration
Attendee 1 First Name
Attendee 1 Last Name
T-Shirt Size (S, M, L, XL, XXL)
Attendee 2 First Name
Attendee 2 Last Name
T-Shirt Size (S, M, L, XL, XXL)
Attendee 3 First Name
Attendee 3 Last Name
T-Shirt Size (S, M, L, XL, XXL)
Attendee 4 First Name
Attendee 4 Last Name
T-Shirt Size (S, M, L, XL, XXL)
Current Total:
$0.00
Calculate
Liability Statement
*
I am agreeing that by registering for this event I will indemnify and hold harmless Indiana Propane Gas Association, its volunteers, employees, and others working on behalf of Indiana Propane Gas Association 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 Propane Gas Association, including loss of life.
Cancellation Policy:
*
Cancellation must be received in writing by September 5, 2024 to receive a refund minus a $25 processing fee. No refund will be granted after September 5, 2024.
Sponsor Company Logo Requirement:
*
I understand I must email melissa@kdafirm.com our company logo by Aug. 26 to be included on the event T-shirt. Logo requirements: vector based EPS file in 100% black