SECTION 1:REGISTRATION AND BADGE INFORMATION
Note: Please enter name and company name as you wish to appear on your badge. The fields highlighted in RED and with an * are required.
Attendee Spouse/Guest
First Name *   First Name
Nickname Nickname
Last Name *   Last Name
Company/Store Name *  
Mailing Address *  
City *   State
Foreign State/Province Zip/Postal Code
Country Email *  
Phone *   Fax
If you are a Retailer, please provide the following information
Licensed Distribution Center Division
 
SECTION 2:REGISTRATION TYPE AND FEES (Please Note: N.G.A. Chairman’s Dinner & Gala NOT included in registration fee).
 
   
Select Registration Type IMPORTANT:
 Tickets to N.G.A. Chairman’s Dinner & Gala are not included in your registration fee and must be purchased separately. The tickets are $25 for fully registered attendees and $195 for non-fully registered (One-Day Passes, Expo Floor Only Passes, etc.) attendees.
IGA/N.G.A. Combo Registration          IGA ONLY Registration
                    Convention Cancellation/Refund Policy:
All cancelled registrations are subject to a $50 processing fee. A refund will be issued if WRITTEN notification is received no later than January 31, 2012. Fax notifications to (773) 693-1271 or via email at bwiest@igainc.com.

After January 31, 2012 your N.G.A. portion of your registration fee is not refundable.
                 
                 
                 

$25 for for IGA/N.G.A. Combo Registration per person  
 $195 for IGA ONLY Registration per person                       
Ticket(s) at  per person = 		IGA IS NOT RESPONSIBLE FOR RESERVING HOTEL ACCOMMODATIONS!

 $125 for a non registered IGA attendee
Ticket(s) at $125 per person = 		Once you have registered to attend the IGA Global Rally and The N.G.A. Show you will need to make your own individual hotel accommodations. (See SECTION 5 below)
TOTAL CONVENTION REGISTRATION FEES & DINNER TICKETS
 
SECTION 3: SPECIAL EVENTS - IGA GLOBAL RALLY
IGA Welcome Reception IGA Lunch IGA Awards of Excellence Banquet
Saturday, February 11th Sunday, February 12th   Monday, February 13th
Attendee                
Spouse/Guest      		Attendee                
Spouse/Guest      		 Attendee               
Spouse/Guest     
 
SECTION 4: PAYMENT INFORMATION
You will be contacted by an IGA representative to obtain your CREDIT CARD information to finalize the registration fee within three to five business days.
SECTION 5: HOTEL INFORMATION - THE MIRAGE HOTEL & CASINO

Reservations must be made directly with the hotel by Monday, January 16, 2012. To reserve your room, please contact Mirage Room Reservations at 1-800-627-6667 and reference the National Grocers Association and the Group Code: NGACIB.
Operators are available from 6:00 a.m. - 11:00 p.m. Pacific Time. You may also reserve a room at www.thengashow.com.
Reservation requests received after the cut-off date will be based on availability at the hotel’s prevailing rates.
The room rate per night at The Mirage Hotel is $169.00 plus 12% County Room Tax of $20.28 = $189.28

For additional information contact Barbara Wiest, Phone: 773-695-2635, Fax: 773-693-1271, Email: bwiest@igainc.com