LICSS Annual Conference October 25, 2024 Exhibit Registration Form

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Email *

Company *

Representatives *

Option 1

Address *

Phone Number

Level of Exhibit *

$500 one table only

$600 one table and a half page ad in the program

$800 one table, half page ad in the program and early bird 8:309:00 a.m session

Additional Tables $500

$20 Internet Access

One lunch is included, additional lunches are $40 each

1 additional

2 additional

3 additional

4 additional

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Additional Needs- such as electricity, wall space, etc.

Option 1

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Total amount of check payable to LICSS and MUST be mailed to LICSS, P.O. Box 112, Medford, NY 11763 *

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