2025 LSBA Conclave Exhibitor Form Please complete and return the Exhibitor Form with payment by July 11, 2025. Question Title * 1. Name of Exhibitor Question Title * 2. Company Address Question Title * 3. Company Phone Question Title * 4. Email Question Title * 5. Contact Person Question Title * 6. Website Question Title * 7. Do You Require Electricity At Your Booth? ($40 Fee) Yes No Question Title * 8. A payment of $140 (with electricity) was mailed to the Department of Member Outreach and Diversity. Yes No Question Title * 9. A payment of $100 (without electricity) was mailed to the Department of Member Outreach and Diversity. Yes No Question Title * 10. A company representative will attend the luncheon (only one representative per company). A payment in the amount of $65 will be mailed/was mailed to the Department of Member Outreach and Diversity. Luncheon discount is offered to one company representative per exhibit table. Additional company representatives are encouraged to register for the conference, due to capacity constraints. Yes No Question Title * 11. If you understand and agree to the terms and conditions (detailed on the Conclave Exhibitor webpage) to exhibit at the Conclave, please enter your Company Name and Company Representative attending below. Company Name Company Representative (please type name) Question Title * 12. Please list the name of any additional company representative who has not registered for the conference and will not be attending the luncheon.We encourage no more than two representatives per exhibit table.Note: Since one discounted lunch is offered to exhibitors, any additional representative interested in attending the luncheon should register for the conference. Company Representative (please type name) Done!
