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NEMS Alumni Chapter Alcorn State University Alcornites Make It Happen, Make It Matter REGISTRATION FORM MWC 2018 (please print clearly) ONE FORM PER PERSON First Name: Last Name: Class Yr. Address: Phone No.: (H) 41 st Annual Mid-Winter Conference February 22-25, 2018 (Cell) Email Address: Check one: Financial Non-Financial or Guest Chapter Name: FEES ARE NON-REFUNDABLE Financial Non-Financial/Guest Early Bird Registration $85.00 $125.00 $ Postmarked on/or before 11/30/ 2017 Regular Registration $100.00 $150.00 $ Postmarked 12/1/ 2017 01/31/2018 Onsite Registration (cash only) $125.00 $187.00 $ Thursday Event Meet & Greet (complimentary) # attending Friday Events Heritage Luncheon x $50.00 $ Do Drop in Café (dance/fish fry) x $35.00 $ Saturday Events Gala (Banquet/Music) x $75.00 $ TOTAL $ Make checks payable to: NEMSALUMNI CHAPTER ASU MWC 2018 Please mail completed form and payment to: NEMS Alumni Chapter Alcorn State University c/o Registration Committee or register online at www.nemsasualumni.org Registration Contact: Oliver Johnson nemsasualumni@gmail.com or 662-542-9121 (Indicate Registration Inquiries in Subject Line) HOST HOTEL $119.00/night Hilton Garden, 363 E. Main Street, 662-718-5500 ~~ Hampton Inn & Suites Tupelo Barnes Crossing 662-821-0317 ($119.00) OTHER HOTELS ARE AVAILABLE (on back page) HOTEL REGISTRATION DEADLINE: JANUARY 21, 2018 PLEASE NOTE: HOTEL REGISTRATION IS SEPARATE. YOU ARE RESPONSIBLE FOR YOUR HOTEL REGISTRATION. Refund Policy: Attendees can receive refunds up to 30 days before event start date.

YOU MUST MENTION ALCORN NATIONAL ALUMNI ASSOCIATION 2018 TO RECEIVE THE GROUP RATE OTHER AVAILABLE HOTELS Wingate by Wyndham Tupelo 186 Stone Creek Boulevard -9237 662-680-8887 ($79.00) Fairfield Inn & Suites Tupelo 3070 Tom Watson Drive 662-680-6798 ($112.00) Courtyard Tupelo 1320 North Gloster 662-841-9960 ($114.00) Best Western Tupelo Inn & Suites 3158 N. Gloster 662-847-0300 ($118.00) Holiday Inn Express Hotel & Suites Tupelo 1612 McClure Cove 662-620-8184 ($139.00) Holiday Inn and Suites Tupelo North 923 North Gloster & McCullough Boulevard 662-205-4031 ($149.00) Candlewood Suites Tupelo North 79 North Gloster & McCullough Boulevard 662-205-4031 ($169.00)

41st Annual Mid-Winter Conference February 22 25, 2018 Alcornites Make It Happen, Make It Matter Delegate Registration Form MWC 2018 First Name Last Name Address City State Zip Phone (home) (cell) Current Chapter Location Email Address Circle One National Officer Chapter President Committee Chair Chapter Designee If National Officer, please specify: If Committee Chair, please specify: If Chapter Designee, please specify: (i.e., Secretary, Treasurer) Please submit form no later than February 1, 2018 Make checks payable to: NEMS Alumni Chapter Alcorn State University C/O Registration Committee Email your delegate form to: nemsasualumni@gmail.com Subject line: Delegate Registration

NEMS Alumni Chapter Alcorn State University 41st Annual Mid-Winter Conference February 22 25, 2018 Alcornites Make It Happen, Make It Matter ADVERTISEMENT REGISTRATION (Complete form and return with your advertisement) Organization Name Contact Name Contact Address City State Zip Phone Email Please submit ads in a camera ready format (.jpg or PDF). Ads must be submitted by December 31, 2017. If pictures are used, please send the originals. Ad Size Quantity Amount Gold Page x $300.00 = Full Page (color) x $200.00 = Full Page (black & white) x $100.00 = Half Page (black & white) x $ 75.00 = Logo/Business Card x $ 10.00 = Mail to: NEMS Alumni Chapter Alcorn State University C/O Ad Book Committee Email address: nemsasualumni@gmail.com Subject line: AD BOOK Make checks payable to: NEMSALUMNI CHAPTER ASU MWC 2018 Date For Office Use Only Initials Check Money Order Cashier s Check Amount Received

Product Souvenir Book Rates Vendor Booth Information Vendor Registration Information MWC 2018 February 22 25, 2018 Vendors,, REVISED 1/23/17 Full Name Business Name (As you would like listed on booth signage) Mailing Address Website Email Address Business Phone Mobile Phone Home Phone Booth Representative 1 (name & mobile #) Booth Representative 2 (name & mobile #) 2 day event Table numbers vary Chair numbers vary 1 wastebasket Booth ID sign Exhibitor badges COST QTY Sign up by 12/30/17 Booth Assignment: Gold Vendor (3 spaces) $300 First Paid, First Assigned & Signage Purple Vendor (2 spaces) $200 Non-Profit Vendor $50 (Provide Non-Profit Proof) TOTAL Full Page Color $200 Full Page Black/White $100 ½ Page Black/White $75 ¼ Pg Black/White $50 Logo or Business Card $10 TOTAL Description of products, information or services to be displayed or sold Special Request(s) Check one: Friday morning Saturday morning We will provide bag inserts description of bag insert items: CONTRACT AGREEMENT It is agreed and understood between the vendor and the NEMS Alumni Chapter Alcorn State University that there should be no liability for loss of, or damage to, goods or property of vendor or personal injury to the vendor or the vendor s employees. This agreement releases the NEMS Alumni Chapter Alcorn State University and the Hotel from all such claims. Booths are issued ONLY UPON RECEIPT AND CLEARING OF CHECKS. Vendor Signature Date Total Payment Enclosed Make checks or money orders payable to: NEMS Alumni Chapter Alcorn State University MWC 2018 Mail to: NEMS Alumni Chapter Alcorn State University A letter will be emailed confirming your assigned booth upon receipt of your registration form and clearing of checks. Contact Vendor Chairperson Alvin Topp at nemsasualumni@gmail.com if you have questions. Date For Office Use Only Initials Amt. Rec d. MO Ck# Confirmation Sent Setup Req. Arranged

MWC 2018 February 22-25, 2018 Vendors,, DATE: January 23, 2017 Dear Vendor, The 41 st Annual Mid-Winter Conference for Alcorn State University National Alumni Association will be held February 22-25, 2018 at the Bancorpsouth Arena and Conference Center, 375 East Main Street,. The Conference will be a great opportunity to showcase your programs, services and products. Vendor spaces will be available until all are contracted or by the deadline noted below. Make your reservations as soon as possible. Spaces are on a first pay first serve basis. If you are interested in applying for a booth, please complete the enclosed application and return along with payment, description of your exhibit and business card. 1. Email: Email nemsasualumni@gmail.com to request an electronic Vendor Application. 2. By Mail: Print out and complete the enclosed application and return it to Alcorn State University Alumni Northeast Mississippi Alumni Chapter Alcorn State University c/o MWC 2018 Vendors EXHIBIT HOURS VENDOR FEES (prior to November 30, 2017) Friday, February 23, 2018 9:00 am - 9:00 pm $300 Gold Vendor Saturday, February 24, 2018 9:00 am - 11:00 pm $200 Purple Vendor $50 Non-Profit Vendor VENDOR BOOTHS Booth includes: DEADLINES Souvenir Book Payment/Submission January 31, 2018 Vendor Application and Payment Two chairs One wastebasket January 12, 2018 One exhibit ID sign (GOLD VENDOR ONLY) VENDOR REGISTRATION/SETUP Thursday, February 22, 2018 12:00 pm - 5:00 pm Friday, February 23, 2018 8:00 am - noon Wireless Internet access (WI-FI) provided by the conference center. Upon approval of your application an email confirmation will be sent to you. It will also include driving directions, shipping/freight and additional setup information. Incomplete applications cannot be processed. If you are interested in registering for the conference, please let us know. If you have any additional questions, please contact vendor chairperson: Alvin Topp at nemsasualumni@gmail.com Thank you and we hope to see you in February 2018! Sincerely, MWC 2018 Vendor Committee

MWC 2018 February 22-25, 2018 Vendors,, VENDOR INFORMATION AND AGREEMENT IMPORTANT DATES September 1, 2017 Deadline to submit company logo for website advertising November 30, 2017 Deadline for Early Vendor Registration December 30, 2017 Deadline to submit payment and print-ready PDF advertisement January 12, 2018 Vendor Application due date and payment LATE Vendor applications are subject to availability and vendor space cost Gold = $600 & Purple = $400 BOOTH REPRESENTATIVES Two badges per table will be issued for personnel staffing your exhibit. BOOTH FURNISHINGS Each vendor will be responsible for tablecloth(s), electrical cords and multiple outlet strips. If more space is needed an additional area can be purchased for $100.00. SPACE Space assignments will be made only upon receipt of a signed contract and fully paid booth fee. Assignment of space is final. All items, equipment, boxes or displays must be contained within each allotted booth space. CANCELLATIONS AND REFUNDS No refunds will be given after January 12, 2018. If canceled at the direction of the Alcorn State University Alumni, the amount of refund (if any) will be determined at the time of cancellation. There will be no refunds for No Shows. RIGHT OF REFUSAL AND/OR CANCELLATION Alcorn State University Alumni reserves the right to cancel this agreement whenever it discovers that a vendor s product is not as described in this agreement or is incompatible, in the opinion of Alcorn State University Alumni with the purposes of the Alcorn State University Alumni Conference. USE OF SPACE Vendors are restricted to their spaces. Once spaces have been assigned, exhibitors are not allowed to change assignments without approval from the Vendor Coordinator. Vendors are not allowed to remove signs, tables and/or chairs from another booth space assigned. Vendors are not allowed to share space with another vendor. COOPERATION Exhibits are required to be installed within the assigned space and not interfere with other exhibits. The following practices are prohibited: (1) Use of noisy electrical or mechanical apparatus interfering with other exhibits; (2) Canvassing or distributing any material outside the exhibitor s own space; (3) Subleasing of exhibit space; (4) The use of billboard advertisement and/or display of signs outside of the exhibit area without prior approval from the Program Committee. FOOD/LUNCH There are restaurants available near the BancorpSouth Center Arena and within walking distance of the host hotel. POLICY ON PRODUCTS A posted sign is required stating your policy for non-returnable products.

NEMS Alumni Chapter Alcorn State University 41 st Annual Mid-Winter Conference February 22-25, 2018 Alcornites Make It Happen, Make It Matter MEMORIAL REPORT FORM Chapter Name: Chapter President: Name of Deceased Date Deceased Class Year Hometown/State of Deceased Person Reporting / Phone # Please submit on or before February 1, 2018. Mail to: NEMS Alumni Chapter Alcorn State University c/o Memorial Committee Email: nemsasualumni@gmail.com Subject line: Memorial