/2011+Exhibitor+Networking+Form

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Exhibitor Networking Form Company Information (Please Print) Company Name: _______________________________________________________ Contact Phone Number: _________________________________________________ Contact Email: ________________________________________________________

Annual Golf Tournament – Friday, June 17, 6:30am Please register the following players: Player’s Name

Handicap/ Average Scoree

Company Name

____ person(s) at $200 each Total: ________

NEW Exhibit Hall Schedule: Two Days & Six Exclusive Hours • Thursday, June 16: CEO Invitation Only Event, 4pm – 5:30pm • Thursday, June 16: Exhibit Hall Open, 5:30pm – 7pm • Friday, June 17: Exhibit Hall Happy Hour, 3pm – 6pm

SPECIAL EXHIBITOR MEETING SPACE will be available on Friday from 10am – 3pm: provide company details and benefits, conduct a product demonstration, review a contract, or conduct other business during the Convention. Sign up with Deirdre con Rhodes to reserve a private meeting space: space is limited and first-come, first-serve. If you’re not attending an educational session time, there will also be space to connect laptops to the Internet. during this time

Complimentary Networking Events In addition to Exhibit hours, this conference provides many networking opportunities! Registering to Exhibit is just the beginning. Plan to attend the educational sessions that would be of interest to your target audience, as well as the General Closing Session. Also, take time to hang out at the lobby bar at the JW Marriott, as many credit union executives enjoy socializing in this area each evening.

Planning your networking events in advance will help you maximize your time at the show!

Dinner, Entertainment, & Silent Auction

Saturday, June 18, 6:30pm – 10pm Name of Persons Attending: _______________________ ____ person(s) at $95 each _______________________ (Required) _______________________ _______________________ Total: ________

Payment Information (Required)

Payment Options

Company Name: ____________________________________________

 Invoice Me

or

 Credit Card

Contact Name for Accounting Questions: __________________________

CREDIT CARD AUTHORIZATION

Contact Phone Number: _______________________________________

 VISA

Contact Email: ______________________________________________

_________________________________________________________ Credit Card Number Expiration Date _________________________________________________________ Cardholder’s Billing Address _________________________________________________________ City/State/Zip _________________________________________________________ Print Name _________________________________________________________ Authorized Signature _________________________________________________________ V Number (three digit number found on back of card)

Payment Summary  Golf Tournament $ _______________________  Dinner, Entertainment, & Silent Auction $ _______________________ Total $ _______________________ Return original with payment, and be sure to make a copy for your records. Mail to:

Fax to: Email:

LSCU Attn: 2011 Exhibits Management P.O. Box 3108 Tallahassee, FL 32315-3108 850.558.1105 expo@lscu.coop

 MasterCard

All checks must be received before May 27, 2011. Checks received after this date will require credit card payment on site, and the check will be sent back.


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