<p class="MsoNormal" style="text-align: center; margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><strong style="mso-bidi-font-weight: normal;"><span style="layout-grid-mode: line; font-size: 16pt;"><span style="font-family: Times New Roman;">2012 ACTS CONFERENCE</span></span></strong></p>
<p class="MsoNormal" style="text-align: center; margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><strong style="mso-bidi-font-weight: normal;"><span style="layout-grid-mode: line; font-size: 16pt;"><span style="font-family: Times New Roman;">SPONSORSHIP FORM<span style="mso-spacerun: yes;">                        </span></span></span></strong></p>
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<h1 style="margin: 0in -0.5in 0pt 0in;"><span style="font-family: Times New Roman; font-size: small;">The Radisson Hotel at Opryland</span></h1>
<p class="MsoNormal" style="margin: 0in 0in 0pt;"><span style="font-size: x-small;"><span style="font-family: Times New Roman;"><span style="mso-tab-count: 6;">                                                                                          </span><span style="mso-spacerun: yes;">      </span>Nashville, TN</span></span></p>
<p class="MsoNormal" style="text-indent: 0.5in; margin: 0in 0in 0pt 2.5in;"><span style="font-size: 11pt;"><span style="font-family: Times New Roman;"><span style="mso-spacerun: yes;"> </span>July 22-25, 2012</span></span></p>
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<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 8pt;"><span style="font-family: Times New Roman;"> </span></span></p>
<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="font-family: Times New Roman;">We thank you for your continued support. Please complete this form and return it, together with your <strong style="mso-bidi-font-weight: normal;"><span style="text-decoration: underline;">check payable to ACTS</span></strong> to the address listed below or <strong style="mso-bidi-font-weight: normal;"><span style="text-decoration: underline;">complete the credit card information section.</span></strong></span></span></p>
<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><strong style="mso-bidi-font-weight: normal;"><span style="text-decoration: underline;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="text-decoration: none;"><span style="font-family: Times New Roman;"> </span></span></span></span></strong></p>
<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="font-family: Times New Roman;"><span style="mso-spacerun: yes;"> </span></span></span></p>
<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="font-family: Times New Roman;">NAME ____________________________________ TELEPHONE _____________________________</span></span></p>
<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 8pt;"><span style="font-family: Times New Roman;"> </span></span></p>
<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="font-family: Times New Roman;">COMPANY ________________________________ STREET _________________________________</span></span></p>
<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 8pt;"><span style="font-family: Times New Roman;"> </span></span></p>
<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="font-family: Times New Roman;">CITY _____________________________________<span style="mso-spacerun: yes;">  </span>STATE _________ ZIP _____________________</span></span></p>
<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 8pt;"><span style="font-family: Times New Roman;"> </span></span></p>
<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="font-family: Times New Roman;">EMAIL __________________________________________</span></span></p>
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<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 6pt;"><span style="font-family: Times New Roman;"> </span></span></p>
<p class="MsoNormal" style="text-indent: 0.5in; margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="font-family: Times New Roman;"><span style="text-decoration: underline;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;">SPONSORSHIP FEE </span></span><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;">. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . <span style="mso-spacerun: yes;"> </span>$500.00<span style="mso-spacerun: yes;">  </span></span></span></p>
<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="font-family: Times New Roman;"><span style="mso-spacerun: yes;">     </span></span></span></p>
<p class="MsoNormal" style="margin: 0in -0.4in 0pt 0in; mso-pagination: none;"><strong><span style="font-size: 8pt;"><span style="font-family: Times New Roman;"> </span></span></strong></p>
<p class="MsoNormal" style="text-indent: 0.5in; margin: 0in -0.4in 0pt 0in; mso-pagination: none;"><strong><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">CHECK ONE:<span style="mso-spacerun: yes;">  </span><span style="mso-tab-count: 1;">           </span>Check Enclosed ______<span style="mso-spacerun: yes;">       </span><span style="mso-spacerun: yes;"> </span>Credit Card _______</span></span></strong></p>
<p class="MsoNormal" style="text-indent: 0.5in; margin: 0in -0.4in 0pt 0in; mso-pagination: none;"><span style="font-size: 11pt;"><span style="font-family: Times New Roman;"> </span></span></p>
<p class="MsoNormal" style="line-height: 13.5pt; margin: 0in -0.4in 0pt 0in; mso-pagination: none; mso-line-height-rule: exactly;"><strong><span style="font-size: 11pt;"><span style="font-family: Times New Roman;"><span style="mso-tab-count: 3;">                                    </span>Name <em>(as it appears on credit card)</em>_____________________________<span style="mso-tab-count: 2;">               </span><span style="mso-tab-count: 1;">            </span><span style="mso-spacerun: yes;">   </span><span style="mso-tab-count: 3;">                                 </span></span></span></strong></p>
<p class="MsoNormal" style="line-height: 13.5pt; text-indent: 0.5in; margin: 0in -0.4in 0pt 1in; mso-pagination: none; mso-line-height-rule: exactly;"><strong><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Card #:_______________________________­­­­­­­­____ Exp. Date: ___/___<span style="mso-spacerun: yes;">  </span></span></span></strong></p>
<p class="MsoNormal" style="line-height: 13.5pt; margin: 0in -0.4in 0pt 0in; mso-pagination: none; mso-line-height-rule: exactly;"><strong><span style="font-size: 11pt;"><span style="font-family: Times New Roman;"><span style="mso-tab-count: 2;">                        </span><span style="mso-spacerun: yes;">       </span><span style="mso-tab-count: 1;">     </span></span></span></strong></p>
<p class="MsoNormal" style="line-height: 13.5pt; text-indent: 0.5in; margin: 0in -0.4in 0pt 1in; mso-pagination: none; mso-line-height-rule: exactly;"><strong><span style="font-size: 11pt;"><span style="font-family: Times New Roman;">Credit Card Billing Address: _________________________________</span></span></strong></p>
<p class="MsoNormal" style="margin: 0in -1.1in 0pt 0in; mso-pagination: none;"><strong><span style="font-size: 11pt;"><span style="font-family: Times New Roman;"><span style="mso-tab-count: 3;">                                    </span></span></span></strong></p>
<p class="MsoNormal" style="text-indent: 0.5in; margin: 0in -1.1in 0pt 1in; mso-pagination: none;"><span style="font-family: Times New Roman;"><strong><span style="font-size: 11pt;">___________________________________________ZIP________</span></strong><span style="font-size: 11pt;">____</span></span></p>
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<p class="MsoNormal" style="text-indent: 0.5in; margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="font-family: Times New Roman;"><strong style="mso-bidi-font-weight: normal;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span>(Please make check payable to "ACTS")</span></strong><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"></span></span></p>
<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="text-decoration: underline;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="text-decoration: none;"><span style="font-family: Times New Roman;"> </span></span></span></span></p>
<p class="MsoNormal" style="margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="font-family: Times New Roman;"> </span></span></p>
<p class="MsoNormal" style="text-indent: 0.5in; margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="font-family: Times New Roman;"><span style="text-decoration: underline;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;">SEND TO:</span></span><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"></span></span></p>
<h1 style="margin: 0in -0.5in 0pt 0in;"><span style="font-family: Times New Roman; font-size: small;">Advisory Commission on Textbook Specifications</span></h1>
<p class="MsoNormal" style="text-align: center; margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="font-family: Times New Roman;">Two Armand Beach Drive, Suite 1B</span></span></p>
<p class="MsoNormal" style="text-align: center; margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="font-family: Times New Roman;">Palm Coast, FL<span style="mso-spacerun: yes;">  </span>32137</span></span></p>
<p class="MsoNormal" style="text-align: center; margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="font-family: Times New Roman;">(386) 986-4552</span></span></p>
<p class="MsoNormal" style="text-align: center; margin: 0in -0.5in 0pt 0in; mso-pagination: none;"><span style="layout-grid-mode: line; font-size: 12pt; mso-bidi-font-size: 10.0pt;"><span style="font-family: Times New Roman;">(386) 986-4553 fax</span></span></p>