SSSSSSAPPLICATION FOR CONFERENCE EXHIBITS

Company___________________________________________________________________________

Contact Person___________________________________ Telephone () ) )  ) _____________________

Mailing Address______________________________________________________________________

City, State, Zip_______________________________________________________________________

Fax Number () ) )  ) _______________________ E-mail ______________________________________

Exhibitors are responsible for setting up and dismantling exhibits. Tables will be provided. A maximum
of two tables may be purchased by a single exhibitor. Due to limited space, applications will be accepted
and placement assigned on a first-come basis.

Directions: Please indicate your sponsorship or contribution level.
____d
Exhibit Fees: SSSSSSStandard (cannot sell) $125SSSSSSpecial Sales Exhibits (can sell items) $175

Check the appropriate box:
____dMethod of Payment: SSSS____dChecks/Money Order SSS____dPurchase Order

Date(s) of Exhibit: S
____dNovember 10, 2008SSSS____dNovember 11, 2008SSSSS____dNovember 12, 2008

Number of Tables: ____dOne (1) SS____dTwo (2)

Total Amount Enclosed: ________________

Exhibit Summary____________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________

Address Inquires to: bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbMake Check Payable to:
Will Jones, III bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbJackson State University
College of Lifelong Learning bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbCollege of Lifelong Learning
Phone: 601-432-6879 bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb3825 Ridgewood Road, Box 23
Fax: 601-432-6124 bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbJackson, Mississippi 39211