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Exhibitor Registration

The form below is for exhibitors to register for the 16th Annual Gulf South Adult and Career Education Conference held at Valdosta State University in Valdosta, Georgia. The date of the conference is Friday, March 6, 2009.

The completed form is due February 20, 2009, and should be submitted with a $75 check made payable to "Valdosta State University." This fee includes lunch for the company representative(s). The registration form and check should be mailed to:

Department of Adult and Career Education, Attn: Pamela Lesane, Dewar College of Education Center, 1500 North Patterson Street, Valdosta State University, Valdosta, GA 31698-0800.

If you should have any questions, please call Dr. Reynaldo Martinez at (229) 333-5928 or email him at rlmartinez@valdosta.edu. For additional information about the conference, please visit the conference web site at <16thGSC>.

GULF SOUTH CONFERENCE REGISTRATION FORM FOR EXHIBITORS

Please Print this Form and Mail with Check to the Above Address

Name and Title of Representative(s):

Company Name:

Address:

City, State, and Zip Code:

Phone Number:

FAX Number:

Email Address:

Number of Tables Needed:

Will Access to Electrical Outlet be Needed?: