Exit 2024 LSBA Exhibitors Form Please complete and return the Exhibitors Form with payment by July 12, 2024. 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 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. Company Representative attending the luncheon (please type name). Question Title * 12. If you understand and agree to the terms and conditions to exhibit at the 2024 Conclave, please enter your Company Name and Company Representative below. Company Name Company Representative (please type name) Done!
