2023 Summer Convention Registration Newspaper / Company Name* Newspaper / Company Address* Street Address Address, cont. City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact Phone*Contact Email* Do you need to Register for the Full Summer Convention?* Yes No Full Convention RegistrationFull Registration Includes: Friday - Opening Reception; Saturday - Continental Breakfast, Lunch, and BNC Reception & Awards Dinner. Please let us know if you are unable to attend any of the events.Full Registration Cost(for each) Price: # of People to Register*Please enter a number from 0 to 6.You have chosen to register this many people:Please enter the first and last names of attendee (will also be used for Convention Badges) and chose the functions each registrant will attend.You may only enter from 0 (none) to 6 people. Please reset your number, thank you.HiddenRegistrant #1* First Last Thursday Evening "The Fun Boat!" Sunset Cruise +$50* Yes No Join us aboard The Fun Boat! for a sunset dolphin cruise. It leaves out of San Roc Cay across from the Perdido Beach Resort. Accommodates up to 80. Friday Opening Reception* Yes No Sponsored by Alabama Power. Join us on the beach deck for fellowship and libations.blankSaturday Continental Breakfast* Yes No Featuring Jeremy Gulban, CEO of CherryRoad Media, LLC and owner of The Clayton Record in Alabama.Saturday Lunch* Yes No Featuring Kevin Slimp, speaking on the positive future of newspapers.Saturday BNC Reception and Dinner* Yes No Come celebrate and congratulate all of the great work submitted to the APA Media Awards for this year's contest!List any dietary restrictions for Registrant #1We will make every effort to accommodate your requests, but it is not guaranteed. Registrant #2* First Last Thursday Evening "The Fun Boat!" Sunset Cruise +$50* Yes No Fri. Opening Reception* Yes No blankSat. Continental Breakfast* Yes No Sat. Lunch* Yes No Sat. BNC Reception and Dinner* Yes No List any dietary restrictions for Registrant #2We will make every effort to accommodate your requests, but it is not guaranteed. Registrant #3* First Last Thursday Evening "The Fun Boat!" Sunset Cruise +$50* Yes No Fri. Opening Reception* Yes No blankSat. Continental Breakfast* Yes No Sat. Lunch* Yes No Sat. BNC Reception and Dinner* Yes No List any dietary restrictions for Registrant #3We will make every effort to accommodate your requests, but it is not guaranteed. Registrant #4* First Last Thursday Evening "The Fun Boat!" Sunset Cruise +$50* Yes No Fri. Opening Reception* Yes No blankSat. Continental Breakfast* Yes No Sat. Lunch* Yes No Sat. BNC Reception and Dinner* Yes No List any dietary restrictions for Registrant #4We will make every effort to accommodate your requests, but it is not guaranteed. Registrant #5* First Last Thursday Evening "The Fun Boat!" Sunset Cruise +$50* Yes No Fri. Opening Reception* Yes No blankSat. Continental Breakfast* Yes No Sat. Lunch* Yes No Sat. BNC Reception and Dinner* Yes No List any dietary restrictions for Registrant #5We will make every effort to accommodate your requests, but it is not guaranteed. Registrant #6* First Last Thursday Evening "The Fun Boat!" Sunset Cruise +$50* Yes No Fri. Opening Reception* Yes No blankSat. Continental Breakfast* Yes No Sat. Lunch* Yes No Sat. BNC Reception and Dinner* Yes No List any dietary restrictions for Registrant #6We will make every effort to accommodate your requests, but it is not guaranteed. HiddenDo you need to register Guests? (i.e. Spouse or Child)* Yes No Guest Registration (Spouse/Child)PLEASE register guests/spouses for all events they plan to attend.Guest Registration Cost(for each) Price: # of Guests to Register*Please enter a number from 0 to 6.You have chosen to register this many guests:Please enter the first and last names of the guests (will also be used for Convention Badges) and chose the functions each guest will attend.You may only enter from 0 (none) to 6 people. Please reset your number, thank you.HiddenGuest #1* First Last Thursday Evening "The Fun Boat!" Sunset Cruise +$50* Yes No Fri. Opening Reception* Yes No blankSat. Continental Breakfast* Yes No Sat. Lunch* Yes No Sat. BNC Reception and Dinner* Yes No List any dietary restrictions for Guest #1We will make every effort to accommodate your requests, but it is not guaranteed. Guest #2* First Last Thursday Evening "The Fun Boat!" Sunset Cruise* Yes No Fri. Opening Reception* Yes No blankSat. Continental Breakfast* Yes No Sat. Lunch* Yes No Sat. BNC Reception and Dinner* Yes No List any dietary restrictions for Guest #2We will make every effort to accommodate your requests, but it is not guaranteed. Guest #3* First Last Fri. Opening Reception* Yes No blankSat. Continental Breakfast* Yes No Sat. Lunch* Yes No Sat. BNC Reception and Dinner* Yes No List any dietary restrictions for Guest #3We will make every effort to accommodate your requests, but it is not guaranteed. Guest #4* First Last Fri. Opening Reception* Yes No blankSat. Continental Breakfast* Yes No Sat. Lunch* Yes No Sat. BNC Reception and Dinner* Yes No List any dietary restrictions for Guest #4We will make every effort to accommodate your requests, but it is not guaranteed. Guest #5* First Last Fri. Opening Reception* Yes No blankSat. Continental Breakfast* Yes No Sat. Lunch* Yes No Sat. BNC Reception and Dinner* Yes No List any dietary restrictions for Guest #5We will make every effort to accommodate your requests, but it is not guaranteed. Guest #6* First Last Fri. Opening Reception* Yes No blankSat. Continental Breakfast* Yes No Sat. Lunch* Yes No Sat. BNC Reception and Dinner* Yes No List any dietary restrictions for Guest #6We will make every effort to accommodate your requests, but it is not guaranteed. HiddenDo you need to register a Retired Delegate?* Yes No Retired Delegate RegistrationRetired Delegate Cost(for each) Price: # of Retired Delegates to Register*Please enter a number from 0 to 3.You have chosen to register this many retired delegates:Please enter the delegate's first and last names (will also be used for Convention Badges) and chose the functions each delegate will attend.You may only enter from 0 (none) to 3 people. Please reset your number, thank you.HiddenRetired Delegate #1* First Last Fri. Opening Reception* Yes No blankSat. Continental Breakfast* Yes No Sat. Lunch* Yes No Sat. BNC Reception and Dinner* Yes No List any dietary restrictions for Retired Delegate #1We will make every effort to accommodate your requests, but it is not guaranteed. Retired Delegate #2* First Last Fri. Opening Reception* Yes No blankSat. Continental Breakfast* Yes No Sat. Lunch* Yes No Sat. BNC Reception and Dinner* Yes No List any dietary restrictions for Retired Delegate #2We will make every effort to accommodate your requests, but it is not guaranteed. Retired Delegate #3* First Last Thursday Evening "The Fun Boat!" Sunset Cruise* Yes No Fri. Opening Reception* Yes No blankSat. Continental Breakfast* Yes No Sat. Lunch* Yes No Sat. BNC Reception and Dinner* Yes No List any dietary restrictions for Retired Delegate #3We will make every effort to accommodate your requests, but it is not guaranteed. HiddenDo you need A La Carte Registration?* Yes No A La Carte RegistrationDoes NOT include convention programming or the Saturday morning breakfast.A La Carte Registrant #1* First Last Please register for all events you plan to attend.* Thursday Evening "The Fun Boat!" Sunset Cruise (+$50) Fri. Opening Reception (+$50) Sat. Lunch (+$50) Sat. BNC Reception & Dinner (+$95) None blankDo you need a 2nd A La Carte Registration? Yes No A La Carte Registrant #2* First Last Please register for all events you plan to attend.* Thursday Evening "The Fun Boat" Sunset Cruise (+$50) Fri. Opening Reception (+$50) Sat. Lunch (+$50) Sat. BNC Reception & Dinner (+$95) None blankDo you need a 3rd A La Carte Registration? Yes No A La Carte Registrant #3* First Last Please register for all events you plan to attend.* Thursday Evening "The Fun Boat!" Sunset Cruise (+$50) Fri. Opening Reception (+$50) Sat. Lunch (+$50) Sat. BNC Reception & Dinner (+$95) None blankDo you need a 4th A La Carte Registration? Yes No A La Carte Registrant #4* First Last Please register for all events you plan to attend.* Thursday Evening "The Fun Boat!" Sunset Cruise (+$50) Fri. Opening Reception (+$50) Sat. Lunch (+$50) Sat. BNC Reception & Dinner (+$95) None blankHiddenTotal Cost $0.00 HiddenBilling First Name* Billing Last Name* Billing Email* Billing Zip Code* HiddenCoupon Product Name Price: $0.00 Quantity:
