Special Exhibits Application

Name of Exhibit(Required)

Exhibitor's Name(Required)

This is the name that will appear in the program.

Business Name

Address

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

Cell Phone(Required)

Email(Required)

How can you be reached while in Tucson?

Title or brief description of Exhibit

Quantity and case size required

Case Details

Special Glass

30" Case Qty

48" Case Qty

66" Case Qty

Will you require TGMS Case Linings? If you check "yes", you must indicate the color below.(Required)

YES

NO

Lining Color Preference (If Available)

White

Grey

Black

Beige

Blue

Special Requirements: List here your requests for case risers. If you would like another lining color besides what we offer, you can send your own material for your liners, but you need to indicate what you want done. If necessary, list any other special requirements or requests.

Special Exhibit Identification

List the names of the individuals who will actually be responsible for the Special Exhibit. “Guest Helper” badges for set up and strike will be available upon request from your Special Exhibits Chair at registration. You will be allowed NO MORE THAN TWO IDs PER EXHIBIT SPACE. Only Tucson Gem and Mineral Show® IDs will be honored, and must be worn at all times, including set up and strike.

Under the name of Business, Museum, Society or Individual:

Name as it should appear on your TGMS ID #1(Required)

First Last

Name as it should appear on your TGMS ID #2

First Last

This field is hidden when viewing the form

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Stipend Payment

If you’ve been approved for a stipend, please let us know who to make the check payable to.

Stipend Payable to:(Required)

Signature

Please type your full name

SPECIAL EXHIBITOR APPLICATION

Special Exhibit Identification

Stipend Payment

Signature