Please enable JavaScript in your browser to complete this form.Name *FirstLastCompany Name *Is this company a member of LRWA? *YesNoIf company is not a member of LRWA but is associated with or a distributor of a LRWA member company please provide name hereEmail *Office PhoneCell Phone *Which type of presentations/demonstration would you like to provide?Classroom Exhibit Hall on ThursdayClassroom & Exhibit Hall on ThursdayWhich topic(s) is/are presentation geared toward for the Technical Classroom Session? *WaterWastewater (Sewer)ManagementIndustryWho will provide the Presentation for Technical Classroom Session (Name & Title)? *Email of person providing presentation. *Presentation Name for Technical Classroom Session (This will be on the agenda to let people know what will be discussed, keep brief due to limited space on the agenda) *Time length needed for Technical Classroom Session presentation (max 45 minutes, this includes set-up and break-down) *Brief description of presentation *Will you be exhibiting? *YesNoWho will be providing 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 on Thursday (This will be on the agenda to let people know what will be discussed, keep brief due to limited space on the agenda) *Brief description of presentation/demonstration topic at booth on Thursday. *Comments/CredentialsPhoneSubmit
