Alabama Grocers Association » Registration Forms

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Alabama Grocers Assoc

The mission of the Alabama Grocers Association is to promote and support the growth and success of the food industry in the state of Alabama by representing its members before legislative and regulatory bodies, proactively seeking and offering education, goods and informative services that promote the best interest of its members, and to communicate publicly on behalf of its members on industry related issues.

Registration Forms

Registration includes all Convention Events: Registration Fee & Business Sessions, Board of Directors Reception & Dinner, Breakfast Buffet, Ladies & Children’s Bingo, Vice Chairman’s Reception, Chairman’s Banquet & Entertainment, and Brunch. Individual Tickets may be purchased by calling the Association Office.

NOTE: All Information is strictly confidential and will not be released to anyone without your written authorization.

* Company Name

Company Address

* City

* State

* Zip Code

* Contact Name

* Telephone

* Fax

* Email

Non Member at $450.00 Per Person

Member/Member Employees at $300.00 per Person

Member/Employees Spouse at $235.00 per Person

Member/Employees Children 13 and Under at $150.00 per Person

Member/Employees Children 14 and Over at $235.00 per Person

Special Incentive for Non-Member Exhibitors

Non-Member Exhibitors Employees at $300.00 per Person

Non-Member Exhibitors Employees/Spouse at $235.00 per Person

Non-Member Exhibitors Employees/Children at $150.00 per Person

Name #1

City & State #1

Name #2

City & State #2

Name #3

City & State #3

Name #4

City & State #4

Payment Information

Type of Payment

Credit Card Number

Expiration Date (mm/dd/yy)

Name on Card

* Input Security Code From Right

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