LWSS March 27, 2010 Lakes: The Naked Truth Participant Registration

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1. Will you be attending the Lake Day Event on Saturday March 27, 2010 at the Mayfield Inn and Conference Center?

Will you be attending the Lake Day Event on Saturday March 27, 2010 at the Mayfield Inn and Conference Center?   Yes

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2. In what capacity will you be attending this event? Please indicate all that apply.

In what capacity will you be attending this event? Please indicate all that apply.   I have agreed to give a presentation. (See question #3) I am bringing a display. (See question #4) I will be a member of the audience but not bringing a display or giving a presentation. I am NOT attending

3. If you have agreed to give a presentation, we will provide, laptop, projector, screen. Is there any other equipment you require?

If you have agreed to give a presentation, we will provide, laptop, projector, screen. Is there any other equipment you require?   No Yes

Yes (please specify)

4. If you are bringing a display do you require power?

If you are bringing a display do you require power?   Yes No

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5. We have a general lake stewardship booth space in the Outdoor Show Trade Show area March 25-28. Will you take time to "man-the-booth"? (Please note that you may do this even if cannot attend the Lake Event on Saturday March 27.)

We have a general lake stewardship booth space in the Outdoor Show Trade Show area March 25-28. Will you take time to "man-the-booth"? (Please note that you may do this even if cannot attend the Lake Event on Saturday March 27.)   Yes No Maybe

6. Please indicate your preferred days and times to man the booth during the Outdoor Show. We will do our best to accommodate your preference(s). The show runs Thur 5-9pm, Fri noon-9pm, Sat 10am-6pm, Sun 10am-5pm.

	Morning	Afternoon	Evening
Thursday March 25	*Please indicate your preferred days and times to man the booth during the Outdoor Show. We will do our best to accommodate your preference(s). The show runs Thur 5-9pm, Fri noon-9pm, Sat 10am-6pm, Sun 10am-5pm. Thursday March 25 Morning	Thursday March 25 Afternoon	Thursday March 25 Evening
Friday March 26	Friday March 26 Morning	Friday March 26 Afternoon	Friday March 26 Evening
Saturday March 27	Saturday March 27 Morning	Saturday March 27 Afternoon	Saturday March 27 Evening
Sunday March 28	Sunday March 28 Morning	Sunday March 28 Afternoon	Sunday March 28 Evening

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7. To complete your registation, please provide the following:
(For Company you may use your Community Group Name if applicable)

To complete your registation, please provide the following: (For Company you may use your Community Group Name if applicable)   Name:
Company:
Address 1:
Address 2:
City/Town:
State/Province:
ZIP/Postal Code:
Country:
Email Address:
Phone Number: