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2025 LSBA Conclave Exhibitor Form
Please complete and return the Exhibitor Form with payment by July 11, 2025.
*
1.
Name of Exhibitor
(Required.)
*
2.
Company Address
(Required.)
*
3.
Company Phone
(Required.)
*
4.
Email
(Required.)
*
5.
Contact Person
(Required.)
*
6.
Website
(Required.)
*
7.
Do You Require Electricity At Your Booth? ($40 Fee)
(Required.)
Yes
No
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8.
A payment of $140 (with electricity) was mailed to the Department of Member Outreach and Diversity.
(Required.)
Yes
No
*
9.
A payment of $100 (without electricity) was mailed to the Department of Member Outreach and Diversity.
(Required.)
Yes
No
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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.
(Required.)
Yes
No
*
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.
(Required.)
Company Name
Company Representative (please type name)
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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.
(Required.)
Company Representative (please type name)
