Membership Handbook

Dealer’s Name: _________________________________________________________ NIA#________________

Address: _____________________________________________________ City: __________________________

State: ______ Zip Code: ___________ Phone: ___________ Fax: ___________ E-Mail: _______________

Helper’s Name: __________________________________________________ Helper’s NIA #________________

Family Member(s) and their NIA #’s _______________________________________________________________

Name Badges Required: _______________________; _______________________; _______________________.

I would like to reserve, and have included payment for ___________ table(s) for a total of $_________________.

I understand that the Show Hosts will make every reasonable effort to accommodate my choice of location, but cannot guarantee a specific location. Tables will be 8’ x 30" with a white linen table cloth. Each table will have two chairs. I do _____ do not ______ need electricity.

Items for sale [Please note which items are primary and which are secondary]:

Insulators, Lightning Rod Equipment & "Go-Withs" __________________________ Approximate % ________

I, and my representatives (i.e. participating family members, helpers, other dealers, etc.), agree to abide by the NIA General Show Floor Rules, Code of Ethics, and any special rules as specified in the information included in this show packet. I understand that neither the National Insulator Association, the Show Hosts, the DoubleTree Paradise Valley Resort, or the Grand Canyon State Insulator Club, will be responsible for theft, loss, or damage to person or property, from any cause whatsoever during my participation in this event.

I understand that I am responsible for collecting and paying any applicable taxes.

I hereby agree to indemnify and hold harmless the DoubleTree Paradise Valley Resort, the National Insulator Association, its Directors, Chairpersons, agents and members, and the Show Hosts, from any liability resulting from my activities at the NIA 30^th Annual Show, Sale and Convention, including, but not limited to, liability resulting from the display, offer for sale, or the actual sale of any item(s) by myself or by any of my representatives (i.e. participating family members, helpers, other dealers, etc.).

Exhibitor’s Name: ________________________________________________________ NIA #_______________

Address: ____________________________________________________ City: ___________________________

State: _______ Zip Code: ____________ Phone: ____________ Fax: ____________ E-Mail: ___________

Helper’s Name: ___________________________________________________ Helper’s NIA # ______________

Family Member(s) and their NIA #’s _______________________________________________________________

Name Badges Required: _______________________; _______________________; _______________________.

Category in which I am entering my exhibit:

___ Threaded Glass ___ Threadless Glass ___ Color ___ Specialty ___ General ___ Junior

___ Lightning Rod Equipment ___ Go-Withs ___ Foreign ___ Porcelain ___ Non-Competitive

Please describe your exhibit: _____________________________________________________________________

_____________________________________________________________________________________________

Please describe any special requirements needed (e.g. electricity): ______________________________________

_____________________________________________________________________________________________

I, and my representatives (i.e. participating family members, helpers, other dealers, etc.), agree to abide by the NIA General Show Floor Rules, Code of Ethics, and any special rules as specified in the information included in this show packet. I understand that neither the National Insulator Association, the Show Hosts, the DoubleTree Paradise Valley Resort, or the Grand Canyon State Insulator Club, will be responsible for theft, loss, or damage to person or property, from any cause whatsoever during my participation in this event.

I hereby agree to indemnify and hold harmless the DoubleTree Paradise Valley Resort, the National Insulator Association, its Directors, Chairpersons, agents and members, and the Show Hosts, from any liability resulting from my activities at the NIA 30^th Annual Show, Sale and Convention, including, but not limited to, liability resulting from the display, offer for sale, or the actual sale of any item(s) by myself or by any of my representatives (i.e. participating family members, helpers, other dealers, etc.).

I also understand that failure to comply with the terms of this Agreement may result in my expulsion from the show premises, and/or limitations placed on my future participation in NIA sanctioned shows and activities.

 Signature: _______________________________________________________ Date: _______________________