Exhibitor's Name _______________________________________________
NIA#____________
Address___________________________________________________________________________
City _____________________________________ State____________ Zip
____________________
Phone# ________________ Fax# _________________
E-mail:______________________________
Helper’s Name, City & State: ________________________________________
NIA#____________
Family Member(s) and their NIA#’s(must list if helping with table):
_________________________________________________________________________________
Name Badges
Required______________________________________________________________
_________________________________________________________________________________
Category in which I am entering my exhibit: (see NIA Exhibit & Judging
Rules for details)
__Threaded Glass __Threadless __Glass __Color __Specialty __General __Junior __Lightning Rod Equip. __Go-withs __Foreign __Porcelain __Non-CompetitiveName/Title of Your Exhibit:___________________________________________________________
I, and my representatives (participating family members, helpers
other dealers, etc.), agree to abide by 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 Quality Inn & Suites Richfield, or the Western Reserve
Insulator Club, will be responsible for theft, loss, or damage to person of
property, from any cause whatsoever during my participation in this event.
I hereby agree to indemnify and hold harmless the Quality Inn & Suites
Richfield, the National Insulator Association, its Directors, Chairpersons,
agents and members, and the Show Hosts, from any liability resulting from my
activities at the National Insulator Association's 2008 Central Regional Show
& Sale, 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.
Exhibitor Signature_____________________________________________ Date __________________
return to Exhibitor Information