EAC Updated

Exhibitor Appointed Contractor Form

If your company plans to utilize the services of any independent contractors other than Ortiz&Co, the official general service contractor, this form must be completed and signed by a representative of the exhibiting company. The EAC must also submit a copy of their Certificate of Liability Insurance (COI) to events@ortizandco.com.
Exhibitor Information
Event Name
Exhibitor Company Name
Booth #
Exhibitor Contact
Please enter a valid name.
Exhibitor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Upload Certificate of Liability Insurance (COI)

Cancelof
Signature of Exhibitor
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
The authorized signature confirms that the exhibiting company has agreed to use the services of the Exhibitor Appointed Contractor(s). This agreement is confirmed through the signature.
EAC Information
EAC Company Name
Pre-Show EAC Contact
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
EAC On-Site Contact
Emergency Contact Phone #
Please enter a valid phone number.Format: (000) 000-0000.
Should be Empty:

Exhibitor Appointed Contractor Form