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: Florida Charter School Conference
Show Name: Florida Charter School Conference
Venue Name: Ocean Center
Event Start Date: 11/1/2017
Event End Date: 11/4/2017
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  Animals (other than pet contests & shows)
 Archery  Childcare operations
 Fireworks  Inflatables
 Mechanical amusement rides  Motorsports
 Obstacles  Open Flames
 Open water exposure  Paintball
 Rock climbing walls  Tattooing/Body piercing
 Temporary skating/skiing/skateboarding structures  Weapons

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