ShowDown® Exhibitor Event Cancellation Insurance Application
Applicant Information
1. Name of organization applying for insurance:*
Address:*
City:*
State:*
Zip:*
Country:*
2. Are you a TSEA Member? Yes No    If Yes, TSEA #
     
For questions 3-8, please check Yes or No:
3. Will your booth be outdoors and/or under canvas? Yes No
4. Will your booth require any unique installation and/or construction work? Yes No
5. Have you made all the necessary arrangements to attend the event? Yes No
6. Have all necessary licenses, visas, and/or permits been obtained and have all contractual arrangements been confirmed in writing? Yes No
7. Have you ever sustained and insured loss? Yes No
8. Is the applicant aware of any circumstances, actual or threatened, that may possibly result in a claim under this insurance? Yes No
Event Information
9. Name of Event:
10. Type of Event: (check all that apply)    
Convention/Meeting Tradeshow/Exposition
Consumer/Public Show Other
       
11. Lease Move-In Date:
(mm/dd/yy)		 Lease Move-Out Date:
(mm/dd/yy)
       
12. Event Start Date:
(mm/dd/yy)		 Event End Date:
(mm/dd/yy)
13. Name of Venue: City of Venue:
    State of Venue:
Limit/Premium Option
       
Limit (Check One) Premium (Including Taxes and Fees)
  TSEA Member Non-TSEA Member
Option A - $10,000
$150
$250
Option B - $25,000
$325
$450
Option C - $50,000
$600
$750
Option D - Other Amt
Referral
Referral
 
APPLICATION MUST BE SUBMITTED AT LEAST 14 DAYS PRIOR TO EVENT START DATE
Disclaimer
To the best of my knowledge and belief the information provided in this application, whether in my own hand or not, is true and I have not withheld any material facts. I understand that non-disclosures or misrepresentation of a material fact will entitle the company to void the insurance. I understand that signing the Application does not bind me to complete the insurance but agree that should an insurance policy be issued, this application and the statements made therein shall form the basis of the insurance.
Name:* Title:
Telephone Number:* Email Address:*
       
I Agree I Disagree Initials:* Date:

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Questions: Contact Kendra Reilly at (212) 697-1010 ext 49.