2026 Conference Vendor Registration

Organization *

Contact Last Name

Contact_F_Name

Address *

City *

State *

Zip *

Phone Number *

Email Address *

Company Representative
(Two registration are included with the exhibitor registration fee; other representatives are $100.00 per representative)

Number of Representatives *

Company representative attending the conference (Two registration is included with the exhibitor registration fee; other representatives are $100.00 per representative)

Booths and Sponsors

Indicate the number and/or type of booth or sponsor:

Star of Life Sponsor @ $6000.00

Diamond Level Sponsor Booth @ $5000.00

Platinum Level Sponsor Booth @ $4000.00

Gold Level Sponsor Booth @ $3000.00

Silver Level Sponsor Booth @ $2000.00

Bronze Level Sponsor Booth @ $1000.00

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Conference Booth and extras

Exhibitor Booth @ $650.00

# of additional tickets/for Friday evening @ $30.00

Electricity for booth @ $25.00

Additional Sponsorship

Vendor Biingo or EMS Winner Prizes (I-pad, Smart TV, i.e.) @ $1,000

Conference materials (Name Tags, Programs, i.e.) @ $400.00

Company Ad on LANREMT website for a year, with link @ $500.00

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Additional Items

Early Morning Coffee @ $300.00

Break Out Session Refreshments @ $300.00

Gift Card(s) door Prizes each-----------(@$100.00 per card)

Morning Break refreshments (in Exhibit Hall)-@ $500.00

Afternoon Break refreshments (in Exhibit Hall @ $500.00

Statments

Conference Program Exhibitor Listing: *

Logo/Advertisement Download *

Drag and drop files here or Browse

By completing this application, I agree to the following terms and conditions.

I, the representative, agree to the terms of this Exhibitor Contract, and do plan to send a Company associate(s) to attend the LANREMT-EMS 2026 “We Care. For Everyone “as an Exhibitor during June 2-6, 2026. I agree to pay in full the total amount due as indicated in this document. If the total amount due is not included in this Exhibitor Contract, I agree to remit the total amount due by May 15, 2025. Any Exhibitor Contracts not paid in full by May 15, 2025, will not be binding. Exhibitor Contract mailed after May 15, 20254, will not be considered binding until paid in full. The number of Exhibitor spaces is limited, and Exhibitor Contracts will be issued on a first-come, first-served basis. Mail contract and payment to 2026 EMS Conference, Attn: Shanna Ellis, PO Box 126, Bentley, LA 71407. Make the check payable to the Louisiana Association of Nationally Registered EMTs. The completed contract can be sent via email or regular mail.

Payment

Additional Attendees

Booth or Sponsor

Conference Booth and extras

Additional Sponsorships

Additional Items

Conference Total

Method of Payment for Conference *

Make the check payable to the Louisiana Association of Nationally Registered EMTs

Mail contract and payment to:

2026

EMS Education Conference and EXPO

Attn: Shanna Ellis, PO Box 126, Bentley, LA 71407.
(318) 229-6515

This email address is being protected from spambots. You need JavaScript enabled to view it.

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