LASE/LASS PARTNERSHIP FORM



2020 LASE Partner Registration Form Company Name _________________________________________Primary Contact Name/Title _______________________________________________________ E-mail ___________________________________________________________Mailing Address ___________________________________________________ City _________________________________State________ Zip ____________Website _________________________________________________________ Phone Office _____________________ Phone Cell _____________________Secondary Contact (optional)Name/Title _______________________________________________________ E-mail ___________________________________________________________Mailing Address ___________________________________________________ City _________________________________ State _______ Zip ____________Website _________________________________________________________ Phone Office _____________________ Phone Cell _____________________*Please indicate below the partnership level at which you would like to participate.Partnership LevelPartnership CostPlatinum Plus$ 10,000 ________Platinum$ 4,000 ________Gold$ 1,500 ________Exhibitor$ 550 ________Networking$ 600 ________Conference Location - Crowne Plaza Executive Center Baton RougeDue Date – Wednesday, April 8, 2020 - Exhibit space will be assigned on a first-come, first-served basis. Please return this form and a check made payable to LASE to the address below. (Sorry, no credit cards). Louisiana Association of School ExecutivesJ. Rogers Pope, Executive DirectorPost Office Box 40217Baton Rouge, Louisiana 70835-0217Event Sponsorship – There are eight (8) co-sponsorships at $600 each for the reception on Sunday evening, November 17th. If you are interested in co-sponsoring this event in addition to your partnership, please contact J. Rogers Pope directly via email at jrpope@, or telephone at 225-791-0365 (office) or 225-572-8996 (cell). ................
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