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Exhibitor Registration Form Company Information (please print):

Company Group:

Company Name: _________________________________________________________ (Submit company name exactly as it should appear on all published Convention materials. Print legibly.)

Address: ________________________________________________________________ City, State, Zip: __________________________________________________________ Website address:

________________________________________________________

Administrative Contact Information: Contact Name/Title: ______________________________________________________ Contact Address: ________________________________________________________ City, State, Zip: __________________________________________________________ Contact Phone Number: __________________________________________________ Contact Email: ___________________________________________________________

                

Audit & Consulting Automotive Solutions Collections Compliance & Risk Management Data Processing EFT Services Facility Design Financial Services Human Resources Legal Services Lending Services Marketing Member Service Solutions Mortgage Services Network Security Services Operational Solutions Other: _______________

*Company Description of Service/Product:

Provide a brief description (50 words or less) of service/product for use in conference materials. Descriptions with more than 50 words will be edited at the discretion of LSCU. *Must be received before March 31, 2011 to be included in materials.

_______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________

Booth Choices:

Booths are reserved on a first come, first served basis once payment has been received. To request an exhibit hall floor plan, email expo@lscu.coop. Booth Choices: First____________ Second_____________ Third___________

Fourth_____________

LSCU SCU reserves the right to place Exhibitors in what it considers a comparable booth if/when the requested choices are not available, are in conflict with competing companies, or for any other reason. I

 would  would not like to be placed next to the following vendor(s):

________________________________________________________________________

2011 Annual Convention & Exposition June 16-19, 2011 Marriott Grand Lakes | Orlando, FL

Booth Registration Fees: (Space is available on a first-come-first-served basis.)

Booth Space End Cap Double Booth: $4,500ea Premium Booth: $2,500ea Level 1 Booth: $2,250ea Level 2 Booth: $2,000ea Level 3 Booth: $1,795ea

Color Code Green Yellow Orange Pink Blue

Booth registration fee includes two representatives. A maximum of two additional representatives may be added at $195 per person.

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Exhibitor Registration Form Onsite Exhibiting Representative(s): The following fields are required for each onsite exhibiting representative. List name(s) exactly as they should appear on name badges. All representatives are required to be a full-time employee of the exhibiting company. All representatives are required to supply an individual email address so that conference information is received by all individuals and employment verification can be conducted. All name changes received before 30-days prior to the conference, are free-of-charge. Representative changes within 30-days of the conference are at a cost of $35/change. Onsite representatives must be checked in at the LSCU registration desk no later than 3 hours prior to the first Exhibit Hall session. Booth must be assembled and ready for show no later than 2 hours prior to the first Exhibit Hall session. Materials not assembled by this time will be forced through the show contractor at the expense of the exhibitor.

Booth Details

Onsite Appointed Official Representative: ____________________________________ Representative Title: ______________________________________________________ Representative Email Address: _____________________________________________ 2nd Representative: ______________________________________________________ 2nd Representative Title: __________________________________________________ 2nd Representative Email Address: _________________________________________ Additional Representative(s) ($195 per person): (A maximum of four representatives are allowed per booth.) Add’l Representative: _____________________________________________________

· · · · · · · · · · · ·

8’ x 10’ Booth Space Side & Back Draping Two Chairs Booth Identification Sign Admission for Two Representatives Five Exclusive Exhibit Hours with Access to Credit Union Executives Outside the Exhibit Hall During Other Conference Events Admission to Educational Sessions, as well as the General Session Company Contact Information & Description in Convention Notebook Pre-Show List of Registrants Exhibitor Hospitality Area 24-Hour Exhibit Hall Security Group Room Rates at the Hotel

Add’l Representative Title: _________________________________________________

Booth Must Be Manned at All Times.

Add’l Representative Email Address: ________________________________________

A Maximum of Two Additional Representatives May Be Added at a Cost of $195 Per Person.

2nd Add’l Representative: _________________________________________________ 2nd Add’l Representative Title: _____________________________________________ 2nd Add’l Representative Email Address: ____________________________________

Children Under the Age of 18 Are Not Allowed in Exhibit Hall at Any Time.

Bolded Company Name in Convention Notebook  Yes, I’d like to have my company’s name stand out in the 2011 Convention Notebook for $395!

Booth Package Option  Yes, I’d like to include a 6ft skirted table and a trash can with my booth rental for $125!

2011 Annual Convention & Exposition June 16-19, 2011 Marriott Grand Lakes | Orlando, FL

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Exhibitor Registration Form Contract Agreement

We hereby apply for exhibit space at the 2011 LSCU Convention & Exposition to be held at the JW Marriott Orlando Grande Lakes on June 16-19, 2011, and agree to abide by all the requirements and restrictions in the Contract Terms & Regulations provided on LSCU’s website at www.lscu.coop and incorporated by reference herein. This includes (but is not limited to) not bringing children under the age of 18 into the Exhibit Hall, dismantling before the published time, and refraining from doing business outside of your rented booth space in the Exhibit Hall. Any Exhibitors not following appropriate Exhibitor etiquette will be asked to refrain. We understand that this is not a contract until officially accepted by the LSCU. The full rental fee must accompany the agreement. A full refund of the booth rental price (minus $250 cancellation fee) will be made upon written request received by exhibit management prior to March 31, 2011. A full refund of the booth rental price (minus $500 cancellation fee) will be made upon written request received by exhibit management prior to April 29, 2011. A 50 percent refund will be made for cancellation requests received on or after April 29, 2011 but before May 2, 2011. No refunds will be made on or after May 2, 2011. Accepted by Exhibitor: _____________________________ Signature

Accepted by LSCU: ________________________________ Signature

Return original with payment. Make checks out to LSCU. Be sure to make a copy for your records. Mail to: LSCU Attn: Exhibit Management PO Box 3108 Tallahassee, FL 32315 Fax to: 850.558.1105 Email to: expo@lscu.coop

___________ Date

___________ Date

Payment Information (Required) Make all checks payable to LSCU.

Company Name: ____________________________

 Invoice Me Credit Card Authorization

Contact Name for Accounting: _________________

 VISA

Contact Phone Number: ______________________

(American Express and Discover are not accepted.)

Email Address: ______________________________

 MasterCard

Credit Card Number Card Exp Date

Payment Summary Booth Space Registration:

$ ________________

Add’l Representative(s):

$ ________________

Bolded Company Name

$ ________________

Booth Package (Table/Trash)

$ ________________

Total Amount Enclosed:

$ ________________

V Number (3-digit number on back of card) Cardholder’s Billing Address City/State/Zip Print Name Authorized Signature

2011 Annual Convention & Exposition June 16-19, 2011 Marriott Grand Lakes | Orlando, FL

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2011 Annual Convention & Exposition June 16-19, 2011 Marriott Grand Lakes | Orlando, FL 302 300

203

201

210

206

204

111

107

105

103 202 16' 10' 101

FX

304

205

212

113

PREP AREA

207

211

213

20'

FHC

306

310

312

10'

214

215

16'

115

1109

1105

1101 1103

FHC

8'

301

303

305

307

311

313

315

415 413

412

400

504

506

510

512

514

Freeman

401

405

404 402

407

406

410

FX

COQUINA BALLROOM

8'

10'

612

614

501

LSCU CENTER STAGE

513

515

10'

8'

10'

600

700

702

602

701

703

705

704

604

7'

711

713

715

FX

FHC

10'

FX

7'

VESTIBULE

10'-7"

801

FA

900

902

906

807 803

908

910

809

811

912

914

1139

7'

FHC

901 1000

903 1002

905 1004

907 1006

911 1010

913 1012

915 1014

1143

8'-10"

Green 16’x10’ booths @ $4,500ea Orange 8’x10’ booths @ $2,250ea Pink 8‘x10’ booths @ $2,000ea Blue 8‘x10’ booths @ $1,795ea

FA

802

804

806

810

813

815

1135 1137

812

16'

707

710

712

714

1131

605

607

608

609

1117 1119 1121 1123 1125 1127 1129

414

FA

RAMP DOWN

FX

ELECTRICAL

JUNE 16 - 18, 2011 JW MARRIOTT ORLANDO GRANDE LAKES RESORT ORLANDO, FLORIDA

LEAGUE OF SOUTHEASTERN CREDIT UNIONS

1001

1005

1009

1013

FA

VESTIBULE

Exhibitor Registration Form

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/2011%20Exhibitor%20Registration%20Form_conve  

http://www.lscu.coop/content/download/30614/353286/file/2011%20Exhibitor%20Registration%20Form_convention.pdf