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 topic(s) is/are your presentation geared toward? *WaterWastewater (Sewer)ManagementIndustryPresentation Title (keep brief due to limited space on the agenda) *Time length needed for presentation *Brief description of presentation *Will you be exhibiting? *YesNoIf yes to exhibiting, would you be interested in providing a 30-minute presentation/demonstration at your booth on Thursday morning?YesNoIf yes to providing presentation/demonstration at booth provide topic name and brief description? Comments/CredentialsNameSubmit
