Exhibitor Registration

EXHIBITOR REGISTRATION

LLSSA 6th Annual Dealer Conference - Exhibitor Registration
Exhibition will be held on Thursday, May 28th, 2020. Questions and concerns can be directed to Amy Fuselier at (337) 886-7282.
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
Tables - Early Bird Pricing (if paid prior to March 1st)
Price: $200.00 Quantity:
(If paying on March 1st or later, you must instead use the field below.)
Tables
Price: $225.00 Quantity:
(If paying before March 1st, use the field above to get early bird pricing.)
Morning Break Sponsorship
Price: $100.00 Quantity:
Lunch Table Sponsorship
Price: $100.00 Quantity:
Afternoon Break Sponsorship
Price: $100.00 Quantity:
CEU Class
Price: $150.00 Quantity:
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 display and/or material while exhibiting at the annual dealer conference to be held May 28th, 2020.