EXHIBITOR APPLICATION FOR LIABILITY COVERAGE 

As an exhibitor at the show named below, you have the option of obtaining your liability coverage online, through a special group policy for only $65 plus tax. Qualifying applicants will be able to download a Confirmation of Coverage Certificate as soon as credit card payment is submitted.
Show Organizer: American Association of Petroleum Geologists
Show Name: URTeC 2024
Venue Name: George R. Brown Convention Center
Event Start Date: 6/17/2024
Event End Date: 6/19/2024
EXHIBITOR INFORMATION
Company Name:
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Address:
City:
State:    
Zip Code: Phone:   
Contact First Name:
Contact Last Name:
Fax:
E-Mail Address:
Confirm E-Mail:
Website:
Will your exhibit include any of the following? Please check all that apply.
 Aircraft (including drones)       Alcohol Selling Vendor     
 Animals       Axe Throwing     
 Cannabis Products, including but not limited to CBD       Childcare / Daycare Operations     
 Cosmetic / Skincare / Homemade Beauty Products       Fireworks, Pyrotechnics and/or Open Flame     
 Gas Hook Ups       Golf Carts     
 Guns / Firearms / Ammunition / Weapons of Any Kind       Inflatables     
 Live Musical Performance or Entertainment       Mechanical Amusement Devices     
 Motorsports       Obstacles     
 Open Water Exposure       Participating in a Parade     
 Projectiles, including but not limited to Archery, Airsoft & Paintball       Rock Climbing Walls     
 Security Services       Service Provider (Build Outs, Installations, Set up / Tear Down)     
 Services that create physical contact with attendees (i.e., masseuse, beauticians)       Tattooing / Body Piercing     
 Test Drives       Transporting/Shuttling Event Attendees     

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