National Guardianship Association, Inc.
National Guardianship Association, Inc.
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174 Crestview Drive, Bellefonte, PA 16823-8516
Toll Free: 877-326-5992
Email: info@guardianship.org
 
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Sponsors/Exhibitor Form
Company Information
Person to be Listed on Promotions:
Name:
* (Please include any designations.)
Title:
* (Name as you want it to appear on your name badge.)
Organization Name: *
Mailing Address: *
 
City:
* State: * Zip: *
Phone Number:
* Fax Number:
Email Address:
* (Confirmations are only sent by email.)
Website:
Sponsorships are still available, but exhibit space is no longer available.
THIS AGREEMENT IS AUTHORIZED BY
Hold Harmless Agreement – The exhibitor and/or sponsor listed herein assumes full responsibility and agrees to indemnify and defend the NGA and Cheyenne Mountain Resort and their respective employees, agents, and officers against any claims and expense arising out of the use of the exhibition premises at said Cheyenne Mountain Resort during the NGA Conference on October 14 – 17, 2017. The exhibitor and/or sponsor understands that neither the NGA nor Cheyenne Mountain Resort maintains insurance covering the exhibitor’s property, and it is the sole responsibility of the exhibitor and/or sponsor to obtain such insurance. We fully agree to the terms hereof:
Authorizing Agent:
Name: *
Title: *
Mailing Address: *
City:
* State: * Zip: *
Phone Number:
* Fax Number:
Email Address: *
Payment:
Total Payment: $0.00
Payment Method:
Name On Card:
First: *
Last: *
Card #: *
Expiration: *
CVV: 3- or 4-digit code on the back of the card. CVV: *
Our Federal ID #: 36-3591860
Various credit cards accepted.