Student Connexion Exhibitor Interest Form
Complete this form to express interest in exhibiting at Student Connexion missions conference (November 5-6, 2021).  Exhibiting fee is $315 (to be paid after your application has been accepted) if you register before July 31, 2021 and is $340 after.  This application will be reviewed by the Student Connexion Leadership Committee and you will receive a response via email notifying of your status.
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Organization Name *
Mailing Address (street, city, state, zip) *
Organization Phone Number *
Organization Website *
Contact Person (first & last name) *
Contact Person - Email Address *
Contact Person - Phone Number (if different from above)
Contact Person - Mailing Address (if different from above)
How did you hear about us?
Give a brief description of the history and purpose of your organization: *
Provide a link to your organization's Statement of Faith and who is required to subscribe to it: *
Is your organization part of a larger organization or denomination? *
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