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LAKERPALOOZA 2018
Reservation deadline is 12:00pm on Friday August 17, 2018.
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Organization/Department/Business Name:
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Type of Organization or Services Provided
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Choose
Student Organization
University Department
Community Buisness
Community Nonprofit Organization
Church
Street Address
LSSU student organizations and university departments do not need to provide their address.
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City
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State/Prov.
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Zip/Postal Code
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Contact Person Name:
*
Please provide first and last name.
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Phone Number:
*
Please include area code: xxx-xxx-xxxx
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E-mail address:
*
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Who will be representing your business, organization or group at Lakerpalooza?
*
1st Participants Name: (First and Last)
Your answer
2nd Participant’s Name: (First and Last)
Your answer
Will there be more than 2 Participants?
*
yes
No
Required
If yes, how many more?
1
2
3
Will you require electrical power for your booth?
*
Yes
No
If yes, Please indicate what item(s) will need power? Examples: Crockpot (1), laptop (2) tv, etc
Please note requests for electrical power cannot be guaranteed. Requests will be filled by order of signup.
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Will you have a giveaway or raffle item?
*
Yes
No
If Yes, please describe:
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Will you have food/beverage items?
*
Yes
No
If yes, please describe
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Do you need additional floor space?
*
Yes
No
If yes, please describe:
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Questions and Comments:
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