LICSS Annual Conference October 25, 2019 Exhibit Registration Form
Email address *
Company *
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Representative(s) *
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Address *
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Phone number *
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email address *
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Level of Exhibit *
Required
One lunch is included additional lunches $35.00 each *
Special Needs - such as electricity, wall space, etc. *
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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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