College and Career Showcase Exhibit Registration Form

Minority Access, Inc.

20th National Role Models Conference

September 26 - 29, 2019

Gaylord National Resort & Convention Center

National Harbor, Maryland
College and Career Showcase Exhibit Space

Registration Form
Institution / Corporation*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Full Name*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Fax Number

Area CodePhone Number
Exhibit Information

Setup:

One six-foot skirted table

Two chairs and waste basket

One identification sign (institutions may bring their own signage and table cover)

† Audio-visual equipment, electrical hookups, utilities, and other equipment and services are not included in the setup and exhibiting pricing.
$75.00 Donations

To help off-set the cost of lunches for student attendees
Donation*

Full Donation - we want to help off-set the cost of student lunches!Other Donation - we want to help off-set the cost of student lunches with our unique donation!
Amount*

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Comments
Other exhibit representative(s) and/or additional information.
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$75.00 Donations