Registration Form

FULL REGISTRATION:

Full Registration includes all meals (breakfast on Monday and Tuesday; lunch on Monday; and dinner on Monday and Tuesday), business sessions, nightly receptions and entertainment, exhibit hall entrance, and bingo.

CHILD REGISTRATION (Ages 4-12):

Children Registration includes all meals (breakfast on Monday and Tuesday; lunch on Monday; and dinner on Monday and Tuesday provided at the Children’s Program), nightly Children’s Programs, exhibit hall entrance, and bingo. Please note child must be between the ages of 4-12.

	BEFORE MAY 15th	AFTER MAY 15th
Member Registration Spouses of members are included at this rate	$350	$425
Non-Member Registration	$500	$625
Child Registration (Ages 4-12)	$200	$250

Discounted Early Bird Rates are available until May 15th.

If you would prefer a printable brochure please click here to download.

Convention Registration

Company Name*
Company Member Level*
- AGA Member
- Non-Member
Contact Name*
First Last
Phone*
Email*
Enter Email Confirm Email
Billing Address*
Street Address Address Line 2 City State ZIP Code
Registration Options
Member Registration Quantity
Price: $350.00
Spouses of members are included at this rate
Member Attendee Information*
First Name Last Name Email

Please list each attendee separately. Click on plus sign to add additional attendees.
Non-Member Registration Quantity
Price: $500.00
Non-Member Attendee Information*
First Name Last Name Email

Please list each attendee separately. Click on plus sign to add additional attendees.
Child Registration Quantity
Price: $200.00
Child Attendee Information
Child's Name Child's Age Parent's Name Parent's Email

Please list each child separately. Click on plus sign to add additional attendees.
Convention Extras
AGEF 50/50 Drawing Tickets-SINGLE TICKETS Quantity
Price: $20.00
We will draw one winner to receive half of the total sales of tickets at the Welcome Dinner on Monday, July 10th. All proceeds will go to our AGEF Scholarship Fund.
AGEF 50/50 Drawing Tickets-SIX TICKET BUNDLE Quantity
Price: $100.00
We will draw one winner to receive half of the total sales of tickets at the Welcome Dinner on Monday, July 10th. All proceeds will go to our AGEF Scholarship Fund.
AGEF $5,000 Drawing Tickets Quantity
Price: $50.00
We will draw $5,000 worth of earnings at the Chairman's Banquet on Tuesday, July 11th. All proceeds will go to our AGEF Scholarship Fund.
Would you like to make a monetary donation to our Association? Please list amount below.
Registration Total
$0.00
Credit Card
Card Details
Cardholder Name
By submitting this form, I am acknowledging for myself or anyone attending on my behalf, any and all risk of injuries or damages associated with the COVID-19 pandemic and voluntarily agree to waive any and all liability for the Alabama Grocers Association, its Board of Directors, members, vendors and employees of the Association. It is my understanding that by attending the Alabama Grocers Association Annual Convention either as a registrant, sponsor, advertiser, exhibitor or in any other manner, that I will not hold an outside event that will coincide with any scheduled event held by the Alabama Grocers Association during the dates of the convention unless I receive expressed permission in writing by the Association. By attending the Alabama Grocers Association Annual Convention, I give AGA my full permission to use images or videos taken of me in all publications, promotional materials, online, press releases, etc.
Comments
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Cancellation Policy: Requests for refunds must be postmarked or emailed to scrabtree@alabamagrocers.org 30 days prior to event. A 5% processing fee will
be charged. All cancellations received less than 30 days before the event, will forfeit their refund.

First Name	Last Name	Email

First Name	Last Name	Email

Child's Name	Child's Age	Parent's Name	Parent's Email

FULL REGISTRATION:

Convention Registration

Registration Options

Convention Extras