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: Emerald X, LLC
Show Name: Couture
Venue Name: Wynn Las Vegas
Event Start Date: 5/30/2024
Event End Date: 6/2/2024
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)       Alcohol Selling Vendor     
 Animals       Archery     
 Beauticians / Skincare / Homemade Beauty Products       Cannabis including but not limited to edibles, CBD, etc     
 Childcare Operations       Fireworks/Pyrotechnics     
 Golf Carts       Inflatables     
 Mechanical Amusement Rides       Medical Exams and/or Vaccines     
 Motorsports       Obstacles     
 Open Flames       Open Water Exposure     
 Paintball       Rock Climbing Walls     
 Security Services       Tattooing / Body Piercing     
 Temporary Skating/Skiing/Skateboarding Structures       Weapons     

With one swing of the club, your tournament participant could drive away in a luxury car, win a dream vacation, or just pocket a large check. Part of the Winsurance® promotional coverage portfolio, our Hole-in-One insurance allows you to transfer the risk of someone making that big prize hole-in-one to an A+ Best rated insurer. Contact us at [email protected] to learn more or obtain a quote.



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