Southeast LAMPAC Registration Name(required) Email(required) Phone Number(required) Company/Local Union(required) If you belong to a Local Union, please provide the name of the company you represent(required) Title (required) Department (required) Work Address(required) City(required) State(required) ZIP Code (required) Assistant's Name Assistant's Email Address Please list any special dietary requirements or food allergies you may have Emergency Contact Name (required) Emergency Contact Phone Number Will you participate in the golf outing? (required) Yes No Please provide your golf handicap If available, would you be interested in golf club rental (at attendee's own expense)?(required) Yes No Do you plan to attend Sept. 22 welcome reception? (required) Yes No Do you plan to have Sept. 22 conference breakfast? (required) Yes No Do you plan to have Sept. 22 conference lunch? (required) Yes No Do you plan to have Sept. 23 conference breakfast? (required) Yes No Do you plan to bring a guest? (required) Yes No Guest First Name Guest Last Name Will your guest attend the welcome reception on Sept. 22? (required) Yes No Please list any special dietary requirements or food allergies your guest may have(required) Please select your shirt size(required) Small Medium Large XL 2XL 3XL Send Share:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to email this to a friend (Opens in new window) Author: Carey Sullivan Carey Sullivan is SWEPCO's director of Corporate Communications and is based at the company's Shreveport, La., headquarters. View all posts by Carey Sullivan
