Prefix First Name * Last Name * Title College\University * Street Address City State Zip Code Telephone Number * Fax Number Email * Targeted Disciplines * Special dietary needs List any additional representatives that are planning to attend the Fair: Will You Require One of the Following: Electrical Outlet Wireless Access If paying by credit card, please contact Ms. Debra Turner @ 601.977.7715. The registration fee is $150 for each institution; $50 for each additional representative from that institution. Please submit payment by Friday, September 6, 2019. Make check payable to: Tougaloo College Career Services 500 West County Line Road Tougaloo, MS 39174 601.977.7815 Printer-friendly version
