Deadline to submit April 1, 2023

You will be placed on the waiting list.

Name *

First

Last

Company Name *

Is this company a member of LRWA? *

If company is not a member of LRWA but is associated with or a distributor of a LRWA member company, please provide name here.

Email *

Office Phone

Cell Phone *

Which topic(s) is/are presentation geared toward for the Technical Classroom Session? *

Who will provide the presentation for Technical Classroom Session (Name & Title)? *

Email of person providing presentation. *

Cell Phone of person providing presentation. *

Presentation Name for Technical Classroom Session. (This will be on the agenda, keep brief due to limited space.) *

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? *

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

Comment