2017 Convention Brochure Jessica

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Alabama Grocers Association 2017 Annual Convention July 24-26, 2017 ยท Sandestin Golf & Beach Resort

ATTENDEES FORM

Name:___________________________________ Email:______________________________________

Company: ___________________________________________________________________________ Type of Registration: Member Non-Member Spouse/Child over 12 Child Registration Name Tag Only ($300/$375) ($500/$625) ($275/$330) ($200/$240) ($0) Registration Additions: Member Golf Non-Member Golf $5,000 Drawing Ticket Silent Auction Donation ($175/$210) ($250) ($50 Each ____# of Tickets) Amount: $__________

List Food Allergies or Special Requests: _________________________________________________________________________

ATTENDEE #1

Attendee #1 Total ______________

Name:___________________________________ Email:______________________________________

Company: ___________________________________________________________________________ Type of Registration: Member Non-Member Spouse/Child over 12 Child Registration Name Tag Only ($300/$375) ($500/$625) ($275/$330) ($200/$240) ($0) Registration Additions: Member Golf Non-Member Golf $5,000 Drawing Ticket Silent Auction Donation ($175/$210) ($250) ($50 Each ____# of Tickets) Amount: $__________

List Food Allergies or Special Requests: _________________________________________________________________________

ATTENDEE #2

Attendee #2 Total ______________

Name:___________________________________ Email:______________________________________

Company: ___________________________________________________________________________ Type of Registration: Member Non-Member Spouse/Child over 12 Child Registration Name Tag Only ($300/$375) ($500/$625) ($275/$330) ($200/$240) ($0) Registration Additions: Member Golf Non-Member Golf $5,000 Drawing Ticket Silent Auction Donation ($175/$210) ($250) ($50 Each ____# of Tickets) Amount: $__________

List Food Allergies or Special Requests: _________________________________________________________________________

ATTENDEE #3

Attendee #3 Total ______________

Name:___________________________________ Email:______________________________________

Company: ___________________________________________________________________________ Type of Registration: Member Non-Member Spouse/Child over 12 Child Registration Name Tag Only ($300/$375) ($500/$625) ($275/$330) ($200/$240) ($0) Registration Additions: Member Golf Non-Member Golf $5,000 Drawing Ticket Silent Auction Donation ($175/$210) ($250) ($50 Each ____# of Tickets) Amount: $__________

List Food Allergies or Special Requests: _________________________________________________________________________

ATTENDEE #4

Attendee #4 Total ______________

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