APPLICATION FORM 2011
Louisiana Council for the Social Studies Annual
Office Use Only*
Date Received:
Conference
______________
Conference Theme: “Red Stick Revival: Rejuvenating Social Studies
Education in Louisiana”
Crowne Plaza Hotel, 4728 Constitution Ave. (I-10 @ College Dr) Baton Rouge, 70808 Phone: (225)925-2244
$96 Group Rate ~ until Oct. 1, 2011 Conference Code: CSS http://www.crowneplazabaton.com/
Name & Title:__________________________________________________________________________
Firm:_________________________________________________________________________________
Address:______________________________________________________________________________
_____________________________________________________________________________________
Phone: _______________________________ FAX:________________________________________
E-mail address:________________________________________________________________________
Description of Exhibit:__________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
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Publishers and Commercial Participants – Cost of 1 table: $300; Each Additional Table: $200
Total number of tables requested…………………..________
Amount enclosed…………………………………..________
Nonprofit Organizations/Govt. Agencies – Cost of 1 table: $150; Each Additional Table: $150
Total number of tables requested…………………..1
Amount enclosed…………………………………..._$150___
Arrangements are being made to allow exhibitors to set up Wednesday, October 5 th after 6 pm. Hours for the
exhibit hall will be Thursday, October 7th 8:00am – 11:30am and 12:30 pm – 4:00 pm; Friday, October 7th,
8:00am – 9:00am and 10:15am – 2:00pm
Make checks payable to “Louisiana Council for the Social Studies” and return with form to:
Ms. Sandra Goldich, Exhibit Chairman
1703 Shirley Park Place Alexandria, LA 71301
sgoldich@aol.com