LOS ANGELESCONVENTION CENTERSAMPLING FORM

LOS ANGELES

CONVENTION CENTER

SAMPLING FORM

PLEASE FIILL IN THIS FORM AND ATTACH ALL REQUIRED DOCUMENTS AT LEAST 30 DAYS PRIOR TO THE EVENT.

FOR ADDITIONAL SERVICES AND OR INFORMATION PLEASE CONTACT LEVY AT TASTEOFLA@LEVYRESTAURANTS.COM

* * *

SAMPLING WILL NOT BE APPROVED UNTIL THE PROVIDED INFORMATION IS REVIEWED, AND ALL DOCUMENTS HAVE BEEN CONFIRMED WITH SHOW MANAGEMENT.

PLEASE EXPECT AN EMAIL WITH THE STATUS OF THE SAMPLING REQUEST WITHIN 7 BUSINESS DAYS OF THE REQUEST.

* * *

THE SALE OF FOOD AND BEVERAGE WILL NOT BE PERMITTED.

* * *

Event Date*

IF MULTIPLE DAYS, INPUT THE FIRST DATE OF THE EVENT

Company Name*

Booth Number*

Company Address*

Contact Name*

Contact Phone Number*

Email Address*

Item Sampling*

Quantity of Samples

How many portions are you planning to hand out?

Size of Samples*

Please refer to the sampling guidelines for portion restrictions.

Method of Dispensing

Is the item Pre Packaged?

Yes

Certificate of Insurance*

A COPY OF YOUR CERTIFICATE OF INSURANCE WILL NEED UPLOADED HERE IN ORDER TO APPROVE SAMPLING.

EXHIBITING FIRM MUST PROVIDE LEVY WITH A CERTIFICATE OF INSURANCE SHOWING EVIDENCE OF COMMERCIAL LIABILITY WITH AN EACH OCCURRENCE LIMIT OF $1,000,000.

* * *

CERTIFICATE HOLDER INFORMATION:

LEVY PREMIUM FOODSERVICE LIMITED PARTNERSHIP

+ AEG/LOS ANGELES CONVENTION CENTER

1201 S. FIGUEROA ST.

LOS ANGELES, CA 90015

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