2022 UAS Industry Showcase with Public Safety/Emergency Management

2022 UAS Industry Showcase with Public Safety/Emergency Management

REGISTRATION FORM AND VISITOR ACCESS ACKNOWLEDGEMENT/AGREEMENT
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Name*

First NameLast Name
Title
Company*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Office Number
Please enter a valid phone number.
Cell Phone*
Please enter a valid phone number.
Name of Referring Party

First NameLast Name
U.S. Citizen*

YesNo - Citizenship Country is:
I acknowledge that Treetop Properties, LLC and Xelevate, LLC (collectively “Xelevate”) are permitting me to access and use the premises located at Taylorstown Road, Leesburg, Virginia 20176, on a non-exclusive basis, during the dates and times notified by Xelevate to me, for the purpose of visiting Xelevate’s facilities and engaging in any related activities expressly permitted by Xelevate. I further acknowledge that I have reviewed and agree to the Xelevate VISITOR ACCESS TO PREMISES AND FACILITIES TERMS AND CONDITIONS with respect to visiting, accessing, and using the premises and facility as a visitor, including but not limited to receiving a tour of the facility’s features. Such XELEVATE VISITOR ACCESS TO PREMISES AND FACILITIES TERMS AND CONDITIONS are hereby incorporated by reference into, and form an integral part of, this Xelevate Tour/Visitor Access Acknowledgement and Agreement. I HEREBY CONSENT TO ELECTRONIC TRANSACTIONS IN ACCORDANCE WITH SECTION 13 OF THE VISITOR ACCESS TO PREMISES AND FACILITIES TERMS AND CONDITIONS.
Signature*

Clear
I will be registering as:*

Goverment/Public Safety/Emergency Management *must be a government employee or volunteer first responderNon-profit/AcademiaIndustry/all others
Name of Government Agency*
My Products*
prevnext( X )
Non-Profit/Academia
$35.00

Industry/all others
$50.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Should be Empty: