CENTRAL STATES NUMISMATIC SOCIETY

73rd ANNIVERSARY CONVENTION

RENAISSANCE CONVENTION CENTER - Schaumburg, Illinois

April 18-21, 2012

Download this application as a Word document (.doc)    2012 Exhibit Application
APPLICATION AND RESERVATION FOR EXHIBIT SPACE AND CASES DUE BY MARCH 17, 2012 (Postmark Date)

Applications received on or prior to March 3, 2012 will be placed in a drawing for a 1/4 oz.Gold Eagle

I would like to reserve space for an exhibit of numismatic material consisting of _____case(s) for the above convention. My exhibit is to be entered in the class designated by an "X". (Note: No single exhibit may be entered in more than one classification. No more than one entry per class) A separate application must be submitted for each exhibit. There is a limit of seven (7) cases that total no more than 21 linear feet of table space per exhibit. Allstate cases (inside dimensions 22" x 34") will be furnished; however, an exhibitor may furnish his/her own cases, provided they do not exceed the 21 linear feet limitation and are not more than five (5) inches deep. All materials, including titles, must be inside the case and be the property of the exhibitor.

Exhibits may be placed Wednesday, April 18, 2012 between the hours of 9 AM & 5 PM OR on Thursday, April 19 between the hours of 9 AM & Noon. Exhibits must be removed between 3 PM and 5 PM on Saturday, April 21, the last day of the Convention.

My Exhibit Title is ___________________________________________________________________________________________
A Brief Description of my Exhibit is___________________________________________________________________________
______________________________________________________________________________________________________________

Are you a first-time CSNS exhibitor?    ______YES    ______NO
Is your Exhibit entered: ______COMPETITIVELY or ______NON-COMPETITIVELY
I have my own cases: ______YES ______NO - Total number of cases I need ______

I agree to abide by all rules and Exhibit Committee decisions necessary to the conduct of the exhibit area and by the decisions of the judges. I recognize and accept my personal liability regarding any loss or damage sustained either directly or indirectly in connection with my exhibit's participation in the Convention.