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Get Special Event Supplemental Application

Rs (for accounts where premium exceeds $5,000.) Copy of rental agreement or contract to rent or use venue Athletic Events- Complete the Amateur Sports Special Events Supplemental Application ACCOUNT INFORMATION Applicant Name: Address: Web site: www. Contact person (Billing): Contact person (Loss Control): Effective dates requested: Event gross revenue: $ For Profit Other: E-mail Address: Phone: Phone: Individual Partnership Association Years this entity in business: Corporat.

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