2002 LEP A/LOEP WORKSHOP EXHIBITOR REGISTRA TION FORM

2003 NENA/APCO TECHNOLOGY DEMONSTRATIONS AND WORKSHOP

EXHIBITOR REGISTRATION FORM

BEST WESTERN HOTEL ACADIANA

1801 W. Pinhook Road

LAFAYETTE, LA

November18 & 19, 2003

Exhibitor:                                                                                                                                

Representative:                                                                                                                    

BusinessPhone #:                                                                                                                     

E-mail Address:                                                                                                                     

Address:                                                                                                                                 

Fax#:                                                                                                                                      

City:                                                                 State:                           Zip:                             

A Registration Fee of $300.00is required to cover one exhibitor booth, which will include one 8 X 8 footspace which will be formed using 8’ high back drape and 3’ high side drape, one2’ X 6’ covered and skirted table, two chairs and electrical service limited to5 amps (500 watts).  Additional amperagecan be arranged at exhibitor’s expense upon request. Please bring your ownextension cords and any audio-visual equipment that you may need.

We will also provide onebasic 7” X 44” ID sign.  Please print inthe space provided below exactly how you want your ID sign to read.

_____________________________________

                       COMPANY NAME

Make Checks Payable to:  2003NENA/APCO Workshop

For more information or if you have any questions call Ms.Linda Lavergne, vendor coordinator, at (337) 291-5060, or by email:[email protected]

Or VISIT our WEB SITE at www.laapco.org

 Mail to:            LouisianaAPCO Chapter

                        P.O.BOX 82236

                        Lafayette, LA 70598

ExhibitSpace is limited and will accommodate only 18 booths, and the space will bereserved on a first come first serve basis.

Return this form along with your registration fee by October10th, 2003.