Propane Gas Association of New England

2023 Spring Meeting

Omni Providence Hotel - 1 West Exchange Street. Providence, RI

April 5 & 6, 2023

Company Name*

Contact Person*

First Name

Last Name

Phone*

Email*

Address*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Registration

Spring Meeting registration fee includes committee meetings, coffee and cookie break, and reception on April 5th, and breakfast and business meeting on April 6th.

Dinner on April 5th is on your own - choose from one of the many fine restaurants in Providence.

Attendee Information

Choose One*

Member Non-Member

Number of People Attending *

You may register up to four people on this form. Please enter each attendee name.

Number of People Attending - NON MEMBERS*

If you are not a member of PGANE please register attendees here. You may register up to four people on this form. Please enter each attendee name.

1 - Attendee Name

First Name

Last Name

1 - Attendee Name - Non-member

First Name

Last Name

1 - Attendee Email

1 - Attendee Email - Non-member

2 - Attendee Name

First Name

Last Name

2 - Attendee Name - Non-member

First Name

Last Name

2 - Attendee Email

2 - Attendee Email - Non-member

3 - Attendee Name

First Name

Last Name

3 - Attendee Name - Non-member

First Name

Last Name

3 - Attendee Email

3 - Attendee Email - Non-member

4 - Attendee Name

First Name

Last Name

4 - Attendee Name - Non-member

First Name

Last Name

4 - Attendee Email

4 - Attendee Email - Non-member

Registration Fee* $

Billing Information

Total Amount Due* $

Payment Type*

Please send check to:

Propane Gas Association of New England

P.O. Box 1071

Epsom, NH 03234

Credit Card Number - Mastercard or Visa Only

Credit Card Expiration Date

Name on Credit Card

First Name

Last Name

Credit Card Billing Address

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Hotel Reservations

Hotel information provided in registration confirmation email. Please book your overnight rooms by March 3rd for the group rate of $189.00 per night.

_____________________________________________________________________________

Questions? Call us at (888) 445-1075.

Propane Gas Association of New England

1024 Suncook Valley Highway, Unit C-5

P.O. Box 1071

Epsom, NH 03234