2014 FNGA Annual Convention June 17-20, 2014

Boca Raton Resort & Club, A Waldorf Astoria Resort

REGISTRATION FORM

Please print clearly for badge preparation. Prepare separate forms for each person or couple registering. Everyone must register to attend meetings,

receptions & meal functions. Registration fee includes all meal functions, meetings, receptions, & special activities for the registrant & their

spouse/guest. *Registration fee does not include meal tickets or special activities for additional guests or children.

Name Name for Badge

Company Name ________________________________________________Title

Spouse/Guest Name (if attending) Name for Badge

Child(ren) Name and Age (if attending)

Mailing Address City, State, Zip

Phone Fax Email

Registration Fees: Amount Each Total Due

□ FNGA Member Registration on or before April 4, 2014 $395 _______

□ FNGA Member Registration on or after April 5, 2014 $445 _______

□ Non-Member Registration on or before April 4, 2014 $545 _______

□ Non-Member Registration on or after April 5, 2014 $595 _______

□ CNG & Fleet Panel Discussion and Tradeshow ONLY n/c

Choose from the following: *Includes registrant and one spouse/guest included on your registration form that encompasses all registration activities and are non-

transferable; they must be pre-registered. Additional guest and children must pre-pay for special activities and banquet tickets if

participating.

Fishing Tournament - limited to 35 ppl Name(s): ______________________________________

Golf Tournament - limited to 64 ppl Name(s): ______________________________________

Spa Day Services $50 Credit – limited to 60 ppl Name(s): ______________________________________

The Spa will call you to book your reservation Cell Phone & Email:______________________________________

Beach Fun Day Names(s):______________________________________

Beach Chairs, Kayaks, Paddle Boards, Surf Boards, Hobie Wave, Tubes, Names(s):______________________________________ Boogie Boards, Water Hammocks and Waverunners

Extra Pres. Banquet Ticket (Additional guests & Children) $98 Name(s):_______________________________________

Additional Guest/Children) – Circle and list participants

Fishing- $86 per person Golf $100 per person Name(s):_______________________________________

Monday Kid’s Night - Ages 3-12 $65** per child Name(s) & Ages_________________________________

Tuesday Night Kid’s Program -Ages 3-12 $65**per child Name(s) & Ages:_________________________________

**Children must be potty trained. Please provide names with ages of children participating.

Credit Cards accepted: MasterCard or Visa Total Enclosed $ _ CC # & Signature: _______________________________________________ Expiration Date: __________ CC Billing Address:_______________________________________________ 3-digit Security Code: ___________

No invoice will be sent. Please fill out the registration form and mail with your payment to:

FNGA, PO Box 11026, Tall., FL 32302 or email it to kylie@floridagas.org Cancellation Policy: Convention registrations canceled on or before April 30, 2014 will be refunded less a $25 handling fee. Registrations

canceled on or after May 1, 2014 or no-shows at the convention will not be refunded. Cancellations must be made in writing and faxed to

850-222-7892. Room Reservations: Register online https://aws.passkey.com/event/11043163/owner/10914323/home or call Boca Raton

reservations at 561-447-3000 by May 16, 2014 and identify yourself with the Florida Natural Gas Association to receive our special rate of

$149 Bungalow Room; $209 Bungalow Suite, $159 Cloister Estate Room, $189 Tower Room; $209 Tower Junior Suite, $189 Beach Club

Standard Room, $229 Beach Club Ocean Vista.

Boca Raton Resort & Club Hotel Rooms

Bungalow Room- $149.00 Quiet residential style Bungalow complex with frequent shuttle service available to main hotel and beach. Located on the golf course with complimentary self-parking right outside your door. The Bungalow guest rooms are spacious with 560 square feet. All rooms have double beds with garden for golf course views. These rooms are perfect for families who need to connect to the Bungalow suite to serve as a

second bedroom.

Bungalow Suite- $209.00 Secluded from the bustling main resort with ample space to stretch out for an extended retreat. These rooms also have complimentary self-parking located next to the golf course. These suites are very spacious with 995 square feet including a full kitchen, private patio or balcony, large dining room and parlor and master king bedroom and bath. Connections to Bungalow double bedding rooms available.

Cloister Estate Room- $159.00 Located in the center of life at the resort are the Cloister Estate Rooms. They are part of the historic section of the resort with easy accessibility to bars, restaurants, pool, and so on. They have tropical courtyard and formal garden views featuring Spanish-Mediterranean style architecture. These rooms are ideal for single/double occupancy with only 380 square feet.

Tower Room- $189.00 Contemporary décor in soft neutral colors located in the 27 story Tower. The Tower rooms have a wide picture window overlooking the intracoastal or golf course allowing scenic views for miles. It is ideal for double/triple occupancy with 500 square feet and capability of connecting rooms.

Tower Junior Suite- $209.00 Also located in the 27 story Tower is the Junior Suites. They are 750 square feet L-shaped corner rooms that are ideal for families. Their spacious room has a living area with a sofa bed, dining table looking through a bay window and an open floor bedroom. Another great room with stunning views of the intracoastal and golf course.

Beach Club Standard Room- $189.00 Enjoy this fresh and sunny room over at the Beach club with shuttling to and from the Main resort. This room as 420 square feet with modern décor. It has limited or intracoastal views, yet, great accessibility to beach and pools.

Beach Club Ocean Vista- $229.00 Just steps away from the sand and sun is the Beach Club Ocean Vista room which is also located at the Boca Beach Club with shuttling to and from the main resort. This room as 420 square feet with modern décor and beautiful ocean views.