Trade Show Exhibitor Application:

• Name of Company / Organization
  
• Entity Type
  
• Street Address
  
• City
  
• State                              Zip
  
• Contact Person
  
• Phone
  
• Fax
  
• Email
    
  
  

• Any stunts, pyrotechnics, hazardous activities,                     Yes                     No
  mechanical devices, animals, rides, rap / hip-hop /
  metal music performances, massage machines?
  
  
• Will exhibitor will be stationed behind their booth or in                      Yes                     No
  a designated area through-out the trade show?
  
  
• Will trade show take place in the United States?                      Yes                     No
  
  
• Any prior losses relating to trade show exhibits?                     Yes                     No
  
  

• Trade Show Name
  
  
  
• Trade Show Description
  
  
  
• Budget (Exhibitor's Costs)
  
  
  
• Description of Exhibitor's Activities
  
  
  
• Venue Name, Address, City, State, Zip
  
  
  
• Location Information                                         Indoors                    Outdoors
  
  

• Booth Size (Square Feet)                              
  
• Average Daily Participants                              
  
  

• General Liability ($1,000,000)                                                    Automatically Included
  
  
• Blanket Additional Insured & Certificates                                   Automatically Included
  (Including City Certificates)
  
  
• Waiver of Subrogation                                                   Include                 Exclude
  
  
• Third Party Property Damage                                        None                     $25,000
  
  

• Type of Exhibitor                                   Exhibitor (no sales)
                                                                  Concessionaires (food sales)  
                                                                  Concessionaires (non-food sales)
  
  
• For Concessionaires (non-food sales), what type of product are you selling?                               
  
  
• Coverage Dates of the Event                              
  
  

Applicant                                                                                                           Date