CHAMPS TRADE SHOWS 2022 SIGN-IN FORM SHOW ATTENDING: ☐Winter Vegas ☐Atlantic City ☐Summer Vegas ☐Orlando ☐Denver ☐Chicago SHOWS INTERESTED IN: ☐Winter Vegas ☐Atlantic City ☐Summer Vegas ☐Orlando ☐Denver ☐Chicago TYPE OF BUSINESS: ☐Retail ☐Online ☐ Manufacturer ☐Dispensary ☐Wholesale/Distributor ☐Exhibitor
☐Glass Blower ☐Media ☐Other ______________________________________________________ ____________________________________________ DBA/BUSINESS NAME
STORE NAME
_____________________________________________ ____________ ____ ______ ______________________________ PHYSICAL ADDRESS
CITY
ST
ZIP
STORE PHONE NUMBER
______________________________________________________ ____________________________________________ MAIN CONTACT NAME
CELL NUMBER
______________________________________________________ ____________________________________________ EMAIL ADDRESS
STORE EMAIL ADDRESS
PREFERRED WAY OF CONTACT: ☐Store
NUMBER OF STORES
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☐Cell ☐Email ☐Other ________________________
WEB SITE URL __________________________________________________________________________________
Main Products Carried: ☐Hydro ☐Clothing ☐Vape Products ☐Tobacco Products ☐Glass ☐Heady ☐CBD ☐Dispensary ☐Seasonal ☐Tattoo/Piercing ☐Adult Products ☐Detox ☐Kratom/Supplements
Your contact info on: Facebook ________________________________ Instagram ________________________________ Twitter ________________________________ Do You Receive The CHAMPS Show Magazine? ☐YES ☐NO __________________________________________________ NAME
________________________________________________________ MAILING ADDRESS
______ __________
STATE
ZIP
Are You On CHAMPS Text? ☐YES ☐NO If you are interested in receiving show related texts, text “champs” to 31996
RULES •
THERE IS NO SMOKING OR VAPORIZING OF ANY KIND PERMITTED ON THE COMMON SHARED FLOOR.
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NO SMOKING IN HALL. NOT FOR SALE OR DEMO. NO SMOKING OR VAPORIZING.
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ANY ILLEGAL ACT WILL RESULT IN IMMEDIATE REMOVAL FROM CHAMPS AND POSSIBLE ARREST.
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WE RESERVE THE RIGHT TO REMOVE AND/OR REFUSE ENTRY TO ANY PERSONS AND/OR BELONGINGS.
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ALL PEOPLE AND THEIR BELONGINGS SUBJECT TO SEARCH AT THE DISCRETION OF CHAMPS MANAGEMENT.
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NO PRODUCTS CAN BE DISPLAYED OR SOLD OUTSIDE OF CHAMPS EXHIBIT BOOTHS.
By signing this form, you state that you are 18 years old or over and you expressly assume all risks associated with, resulting from or arising in connection with any activities or circumstances at the CHAMPS Trade Show including theft, loss, or damage of property, damage or injury to person or persons (including death), or loss of income or future income, whether caused by negligent, intentional or accidental acts, acts of God, or otherwise. You agree to release CHAMPS and Las Vegas Convention Center, their officers, agents, directors, stock holders, owners, attorneys, insurers, lawyers, assigns, affiliated and subsidiary corporations, and employee(s) from all actions, suits, liens, losses, debts, damages, claims, causes of actions, personal injuries or property damage, including subrogation claims; as well as to forever indemnify, hold harmless, and otherwise defend and/or vouch for (including but not limited to hiring attorneys licensed in the state of Nevada and approved by) CHAMPS and Las Vegas Convention Center against any and all claims, demands, suits, causes of action arbitration demands and arbitrations, liens and mechanics liens that may result from any activities or circumstances at the CHAMPS TRADE SHOW and/or CHAMPS GLASS GAMES.
COMPANY REPRESENTATIVES: (Each person entering show must sign below) By signing your name below you state you understand and agree to Show Rules listed below. 1. ______________________________________________ MAIN CONTACT – FIRST AND LAST NAME
2. ______________________________________________ PRINT NAME
3. ______________________________________________ PRINT NAME
4. ______________________________________________ PRINT NAME
5. ______________________________________________ PRINT NAME
6. ______________________________________________ PRINT NAME
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DATE
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PRINT NAME
PRINT NAME
PRINT NAME
10. ______________________________________________ PRINT NAME
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12. ______________________________________________ PRINT NAME
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