"LSWA Operator Training"
April 25-27, 2012    Cajun Dome Convention Center, Lafayette, LA


Exhibitor Registration Form Step 1 of 2:

Company Name:

Contact Person:

Email Address:

Mail Address:

LSWA currently accept all major credit cards through PayPal.

PayPal


City:   State:   Zip:

Phone:   Fax:

Fees:
$600 per booth if paid by April 6, 2012. Includes 2 floor worker passes, 2 lunch passes & 2 crawfish boil tickets
$800.00 Booth Fee after April 6, 2012. Includes 2 Floor Worker Passes, 2 Lunch Passes & 2 Crawfish Boil Tickets
$40.00 Additional Booth Worker. Includes floor pass & meals. DOES NOT include crawfish boil ticket.
$300.00 Full Page Color Ad (must email ad by April 6, 2012)
$175.00 Half-Page Ad (Must be emailed by April 5, 2012)
$100.00 Golf Hole Sponsor (must be sent in before April 5, 2012)

Individual to be registered for the conference:(PLEASE ENTER)

Name: Email:



Additional Workers ($40.00 Additional Booth Worker. Includes floor pass & meals. DOES NOT include crawfish boil ticket.):

Name: Email:


Booth Choices: (Visit our website at www.lswa.us for a complete layout of the floor plan)

1st Choice: 2nd Choice: 3nd Choice:

Purchase Order Number:

*Additional Crawfish Boil tickets available only through sponsorship. To be a crawfish boil sponsor please email
Mr. Bobby Guidry at bobby.guidry@awin.com

Pleae read the following statement

It is hereby understood that the fees paid are not reimbursable unless approved by the LSWA Board of Directors. In the event the LSWA deems it necessary to cancel this event then any fees paid shall be reimbursed less any and all required expenses. It is agreed that booth assembly shall not commence prior to 2:00 PM Wednesday, March 24, 2009. It is also agreed that exhibitor booth disassembly shall not commence prior to 12:00 PM, Friday, March 26, 2009.

Note:  If you receive no confirmation email or your card is not charged you have not been registered for the event. In this case please print out this form and fax it to Connie Henry at 985-878-2361.

I agree for the above statement

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