Vendors Request

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The Louisiana Good Sam Organization invites all vendors who would like to offer their products or services at one of our Samboree's to fill in the form below. You will be contacted by the Vendor Coordinator. Submitting this form does not imply authorization to attend. This form must be used for each Samboree. Items with an "*" are required information.

SEMINARS: Vendors wishing to hold seminars AND be included in the printed program MUST be registered at least 45 days in advance. If less than 45 days, you will have to wait until your arrival to be placed and announced. Please indicate below the # of seminars, the topic(s) and preferred day(s) in the 'comments' section at the bottom of this form. Due to the number of vendor seminar requests, you may be be required to hold your seminar at your booth. If held at your booth, we will provide seating and a sound system.

Vendor fees are as follows:

• $60 Samboree registration fee (download a registration form on Samboree page)
• $15 Daily Early Bird parking in advance of Samboree start
• 10'X10' booth space - $45 pre-registered & prepaid, $55  if not
• $10 electricity hookup
• Refunds will be granted, less $10, if cancellation is made at least 5 days prior to Samboree

Upon form submittal, you will be contacted by the Vendor Coordinator who will let you know:

• If we can accommodate your needs
• The costs for your booth space with a registration number
• Instructions for mail-in registration and fee payment

If you have a problem with this form please contact the webmaster .

Vendor Coordinator Mike O'Brien, 310 Walker Gravel Pit Rd., Dry Prong, La., 71423-3650

Vendor Space Request Form
Company Name *
Your Name *
Address *
Address Cont.
City *
State *
Zip *
Main Phone *
Secondary Phone
Email *
Re-enter Email Address *
Product Line *
# of 10X10 areas required (enter outside if outside) *
Number of tables needed *
Electricity?	Yes   No
Are you wanting to host a seminar? If 'yes' then please include if a specific day or time of day (morning/afternoon) is desired in the Comments area. If you select 'maybe' then you must notify us at least 60 days in advance to be included in the program.	Yes   No   Maybe
Comments
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Revised: 10/06/11