IPM 2019 Antiques & Historical Exhibitors Registration  
This form must be submitted prior to Sept. 1, 2019. If you have any questions, please contact Danielle Ferrigan at 705-303-9319 or by email at 2019ipmantiques@gmail.com.
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Name *
Email *
Mailing Address *
Telephone Number *
I certify that I have read and understood the 2019 International Plowing Match & Rural Expo "Antique and Historical Exhibitor's Safety Rules, Regulations and Information" and agree to comply with these agreements. *
Required
Description of Display (Information for the Display Card) *
The Display is: *
What is the space required for the display (square foot)? *
Are there any other requirements or comments for your display?
I understand that I must provide a valid insurance certificate that states I/we carry a minimum of $2 million comprehensive liability insurance and lists the Ontario Plowmen's Association and the International Plowing Match & Rural Expo as an additional insured. *
Required
Steam Certification # (if required)
Signature *
Date *
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