2024 March-April APGA Dispensing Propane Safely and LP Gas Board Competency Exam Registration

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DISPENSING PROPANE SAFELY
& LP Gas Board Competency Exam

Prattville - APGA Office
173 Medical Center Drive, Prattville
334-358-9590
(THE ONLY LOCATION CURRENTLY BEING OFFERED)

AVAILABLE DATES

March 12
March 19
March 21
March 28
April 2
April 18
April 30

Dispensing Propane operators plays a critical role in safety and efficiently providing propane to their customers. The course is designed to train employees who may perform any of the following job tasks: 1) operating and inspecting dispensing equipment; 2) inspecting customer cylinders; 3) properly filling cylinders; 4) communicating safety and warning information to the customer; 5) maintaining proper security of the dispensing area; 6) shut-down procedures; and 7) securing the dispenser in case of an emergency.

You MUST also register with the Alabama LP Gas Board at:
https://lpgb.alabama.gov/ to take the exam.

APGA reserves the right to cancel date if adequate registration is not received.

AGENDA

8:30 a.m. - 12:00 p.m. Dispensing Course
12:15 p.m. - LP Gas Exam

Class size is limited to 15.

Registration Information

Company Name*

Person Submitting Registration*

First Name*

Last Name*

Company Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Your Contact Phone*

Your Contact Email*

Number of Registrants for Dispensing Propane Safely & LP Gas Board Competency Exam*

Registrant 1*

Is Registrant 1 a:*

Member ($60) Non-Member ($80)

Registrant 1 Branch Location Where Works*

Registrant 1 Date Requesting*

March 12, 2024 March 19, 2024 March 21, 2024 March 28, 2024 April 2, 2024 April 18, 2024 April 30, 2024

Registrant 2*

Is Registrant 2 a:*

Member ($60) Non-Member ($80)

Registrant 2 Branch Location Where Works*

Registrant 2 Date Requesting*

Option1 Option2 Option3

Registrant 3*

Is Registrant 3 a:*

Member ($60) Non-Member ($80)

Registrant 3 Branch Location Where Works*

Registrant 3 Date Requesting*

March 12, 2024 March 19, 2024 March 21, 2024 March 28, 2024 April 2, 2024 April 18, 2024 April 30, 2024

Registrant 4*

Is Registrant 4 a:*

Member ($60) Non-Member ($80)

Registrant 4 Branch Location Where Works*

Registrant 4 Date Requesting*

March 12, 2024 March 19, 2024 March 21, 2024 March 28, 2024 April 2, 2024 April 18, 2024 April 30, 2024

Registrant 5*

Is Registrant 5 a:*

Member ($60) Non-Member ($80)

Registrant 5 Branch Location Where Works*

Registrant 5 Date Requesting*

March 12, 2024 March 19, 2024 March 21, 2024 March 28, 2024 April 2, 2024 April 18, 2024 April 30, 2024

Registrant 6*

Is Registrant 6 a:*

Member ($60) Non-Member ($80)

Registrant 6 Branch Location Where Works*

Registrant 6 Date Requesting*

March 12, 2024 March 19, 2024 March 21, 2024 March 28, 2024 April 2, 2024 April 18, 2024 April 30, 2024

Payment Information

Total Amount Due $

Payment Method - Please select how you want to pay the amount due. (*Non-members are required to pay by credit card.*)*

Pay by Check Pay by Credit Card

An invoice will be emailed to you.

Name on Credit Card*

First Name*

Last Name*

Credit Card Billing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Credit Card

An email confirmation for this registration will be sent to the address you provided as the Company Contact Email address.

If you have any questions please contact:

Alabama Propane Gas Association
(O) 334-358-9590
(F) 334-358-9520
laural@alabamapropane.com

Click the SUBMIT FORM button below

to submit your registration.

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