National Convention Exhibitor Application Name: _________________________________________________________________________ Business Name: __________________________________________________________________ Mailing Address: __________________________________________________________________ City: ________________________ State: ______________ Zip Code: _____________ Telephone Number: _________________________ Mobile: ____________________________ Email : __________________________________________________________________________ Brief Description of Product: ________________________________________________________ Electric availability is VERY limited. If you require electrical outlet access, there is no additional fee. We will fulfill these requests to the best of our ability. ______: Yes, I require electrical access (you will need to bring your own electrical/extension cords.) Additional Request/Accommodation needs? Changes will not be made on the day of the event. _____________________________________________________________________________________ Payment Information: Exhibitor Signature: _____________________________________________________________________ Date: ___________________________ Dates of Participation: _________________________________________________________________ Number Table Spaces: ________________________________________________________________ Total Enclosed: _______________________________________________________________________ Please make Cashier’s Checks/Money Order payments out to “ TSU National Alumni Association “and mail to:
Tennessee State University National Alumni Association 3500 John A. Merritt Blvd. Box 1261 Nashville, TN 37209-1561
Payments must be received by June 1, 2022 (No personal or business checks accepted)
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