Dealer Registration

DEALER CONFERENCE VENDOR
REGISTRATION

LLSSA 9th Annual Dealer Conference – Vendor Registration
Event is on April 12th & 13th, 2023 at the Natchitoches Event Center.
Company Name*
Company Address*
Street Address Address Line 2 City State ZIP Code
Company Phone*
Company Fax
Representative
Information for an individual representing your company.
Representative Name*
Representative Phone*
Representative Cell Phone
Representative Email*
Options
One Table Top (6 foot table)
Price: $250.00
If paid after 03/01/2023 – $275
Morning Break Sponsorship
Price: $150.00
Lunch Table Sponsorship
Price: $150.00
Reserve a table and invite dealers to join you.
Afternoon Break Sponsorship
Price: $150.00
CEU Class
Price: $150.00
Door Prizes
Price:
** Vendor door prizes will be awarded to present dealers during the Dealer Conference. Please label your prize with a business card and place it on the parade of prizes table prior to the beginning of the event.
Do you need a table for your exhibit?
- Yes
- No
Do you need power for your exhibit?
- Yes
- No
Will you be attending the lunch/state meeting?*
- Yes
- No
Consent
Consent*
I agree and accept.
By checking this box, you state that you and your company will not hold the LLSSA responsible for any damages or losses that may occur to any materials or possessions brought by you or your company to the annual dealer conference to be held June 16th & 17th.