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 $75 plus tax. Qualifying applicants will be able to download a Confirmation of Coverage Certificate as soon as credit card payment is submitted.
Show Organizer: Society for Neuroscience
Show Name: Neuroscience 2020
Venue Name: Walter E Washington Convention Center
Event Start Date: 10/24/2020
Event End Date: 10/28/2020
EXHIBITOR INFORMATION
Company Name:
If your billing address is outside the US, Click Here
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       Animals (other than pet contests & shows)     
 Archery       Cannabis     
 Childcare operations       Fireworks/Pyrotechnics     
 Inflatables       Mechanical amusement rides     
 Medical Examinations       Motorsports     
 Obstacles       Open Flames     
 Open Flames       Open water exposure     
 Paintball       Rock climbing walls     
 Tattooing/Body piercing       Temporary skating/skiing/skateboarding structures     
 Weapons     

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