JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Conference Details
Conference Dates: February 2-4, 2022
Location: Embassy Suites ~ Ridgeland, MS
Venue Address: 200 Township Ave, Ridgeland, MS 39157
For Questions: contact Tracey at (662) 915-1226 or (904) 200-5609 or by email:
tracey@olemiss.edu
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Cell Phone Number
*
Please use the following format when inputting your phone number; ###-###-####
Your answer
Company Name
*
Your answer
Please list names of all employee attending this conference.
*
Your answer
Vendor/Exhibitor Registration Fee is $150.
We will pay at conference
We will be sending a check prior to the conference to MJC, P.O. Box 1848, University, MS, 38677.
Clear selection
Masking and Social Distancing
*
I acknowledge that MJC will be observing the Supreme Court's Emergency Administrative Orders related to masks and social distancing for all conferences.
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
