EmailMe Form - 2024 World's Fair of Money® Exhibit Application

Exhibitor Name *

First Last

Enter name as desired on award.

ANA # *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email Address *

Phone *

### - ### - ####

Convention Residence *

Arrival Date *

MM / DD / YYYY

Convention Phone *

### - ### - ####

GROUPS

Please check one from the options below. *

Competitive (Judged) Exhibit

Non-Competitive Exhibit

Marquee Exhibit

CLASSES

Please check one from the options below. *

Signature of Parent or Guardian (if applicant is under 18 years of age)

Clear

Today's Date

MM / DD / YYYY

CONSENT OF AGENT

I (we) consent to act as the agent(s) named in the foregoing application.

Signature of Agent

Clear

Signature of Agent

Clear

Today's Date

MM / DD / YYYY

AGENT(S) RECEIPT

I hereby acknowledge receipt on the date hereof of all of the property referred to in the foregoing application and heretofore placed on display at the convention referred to herein.

Signature of Agent

Clear

Signature of Agent

Clear

AUTHORIZATIONS

Please provide your electronic signature to agree with the terms and conditions A through F below.

A) If this exhibit is entered in group A (judged exhibits), all numismatic material in this exhibit is my and/or my spouse’s personal property, or, if this is a club exhibit in group A, all material is the property of the club or association, and none is the property of any individual member of the club. (see rule 1A(2) for YN sibling exhibits)

B) If it is necessary to cancel this exhibit, I agree to notify the exhibit coordinator by mail, telephone, fax or email as soon as I
know that I must cancel.

C) I understand that no electrical outlets will be provided.

D) I understand that exhibit cases will be opened ONLY when I (or my agent) and a member of the exhibit chairman’s staff
are BOTH present.

E) I have read and agree to abide by the American Numismatic Association’s rules for exhibiting.

F) OFFICIAL CLOSING TIME: 4:00p.m. Saturday August 10, 2024. I agree to keep my exhibit in place until the official
closing time unless by reason of an emergency situation I have secured written approval from the ANA exhibit
coordinator for an earlier departure.

!!THIS APPLICATION CONTAINS A RELEASE FROM LIABILITY. READ BEFORE SIGNING!!

I HAVE READ AND SIGNED this application. In consideration of receiving exhibit space without cost or other form of consideration, I hereby release the American Numismatic Association, all participating and sponsoring clubs and their officers, members, committees, agents and servants, in their official and/or individual, personal capacities, from any liability for loss, damage or destruction (through negligence or otherwise) of numismatic items that I display. The foregoing does not, however, limit the liability of any individual who may personally be guilty of theft, willful damage or destruction of numismatic material.

Exhibitor Name *

First Last

Today's Date *

MM / DD / YYYY

Signature *

Clear

Signature of Parent or Guardian (if applicant is under 18 years of age)

Clear

GROUPS

CLASSES

EXHIBIT CASES

PHOTOGRAPHY

EXHIBIT DESCRIPTION

NEW EXHIBIT CONTAINING MATERIAL FROM A PREVIOUS WINNING EXHIBIT

AGENT(S)

DESIGNATION OF EXHIBITOR’S AGENT(S)

CONSENT OF AGENT

AGENT(S) RECEIPT

AUTHORIZATIONS

B) If it is necessary to cancel this exhibit, I agree to notify the exhibit coordinator by mail, telephone, fax or email as soon as I know that I must cancel.

C) I understand that no electrical outlets will be provided.

D) I understand that exhibit cases will be opened ONLY when I (or my agent) and a member of the exhibit chairman’s staff are BOTH present.

E) I have read and agree to abide by the American Numismatic Association’s rules for exhibiting.

F) OFFICIAL CLOSING TIME: 4:00p.m. Saturday August 10, 2024. I agree to keep my exhibit in place until the official closing time unless by reason of an emergency situation I have secured written approval from the ANA exhibit coordinator for an earlier departure.

B) If it is necessary to cancel this exhibit, I agree to notify the exhibit coordinator by mail, telephone, fax or email as soon as I
know that I must cancel.

D) I understand that exhibit cases will be opened ONLY when I (or my agent) and a member of the exhibit chairman’s staff
are BOTH present.

F) OFFICIAL CLOSING TIME: 4:00p.m. Saturday August 10, 2024. I agree to keep my exhibit in place until the official
closing time unless by reason of an emergency situation I have secured written approval from the ANA exhibit
coordinator for an earlier departure.