Conference Call for Booth Demo/Presentation

Name *

First

Last

Company Name *

Is this company a member of LRWA? *

If your company is not an LRWA member but is associated with or a distributor for an LRWA member company, please provide the name of the LRWA member company here:

Email *

Office Phone

Cell Phone *

Which topic(s) is/are presentation/demonstration geared toward? *

Water
Wastewater (Sewer)
Management (Water/Wastewater System Decision Makers)

30-minute Booth presentation/demonstration will be held *

At booth space inside exhibit hall
Outside in parking lot with equipment

Who will provide the Presentation/Demonstration at Booth on Thursday (provide person's name & title)? *

Email of person providing presentation at booth. *

Presentation Name for the Booth Presentation/Demonstration. (This will be on the agenda, 15 words or less) *

Brief description of presentation/demonstration topic at booth on Thursday. (20 words or less) *

Comments (state if you need anything special for your presentation/demonstration.

Phone