ISE ’23 – Online Exhibitor Form Step 1 of 3 - 1 0% Your Company & Staff InfoThis section allows you to detail what company representatives will be attending your stand and what information will be published in the show manual.Your Name* Your Company* Company Name To Be Displayed On Panel* How Many Staff Will Require Name Badges?* One Two Three Four Five We can allocate up to 5 name badgesName First Last Company Name (if different to above) Name First Last Company Name (if different to above) Name First Last Company Name (if different to above) Name First Last Company Name (if different to above) Name First Last Company Name (if different to above) Show Guide InformationA previous show guide is available for reference only, https://theskipper.ie/irish-skipper-expo/. We urge you to not repeat your entry as this is an invaluable reference tool that is also available all year round on our website. Company Profile (Up to 100 words)*Company Address Street Address Address Line 2 City County / State / Region Post / Eir Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneEmail* Provide Usual Company Contact EmailYour Website Address Risk Assessment InformationExhibitor's Repsonsibilities: An exhibition stand is a workplace covered by Health & Safety legislation. As the exhibitor, it is your responsibility to ensure that a suitable & sufficient risk assessment has is completed.Failure to do so could result in delays or ultimately the closure of your stand. Does your stand include any of the following? If so, you must complete a full risk assessment.Lifting heavy products during build up / breakdown with forklifting services?* Yes No Working at height / using ladders?* Yes No Display of anything containing liquid fuel, flammable or explosive substances?* Yes No Display of sharp objects?* Yes No Demonstrations of any kind?* Yes No Working electrical appliances other than simple display lighting?* Yes No Food Services other than sweets, snacks & soft drinks?* Yes No Heat Source of any kind including cookery demonstrations, naked flame or gel burners?* Yes No Working machinery of any kind even if static?* Yes No Using power tools during build-up / breakdown?* Yes No Have all portable appliances being displayed had a visual inspection or been PAT tested?* Yes No Any other hazards not identified above which could be a risk?* Yes No NB: This is not an exhaustive list. You are responsible for identifying and aspect of your stand which could represent a hazard.Declaration* By checking this box you declare to the best of your knowledge that there are no significant risk relating to this stand. Insurance DetailsPrior to attending The Irish Skipper Expo ("the event") we shall ensure we have in place appropriate insurance in place to include Public Liability Insurance which shall operate throughout the period commencing immediately prior to the event cover set-up and subsuist throughout the Event until the following day to cover breakdown of your own display. Please complete your insurance details as set out below where indicated:Person / Company Insured* Insurance Type* Policy Number / Reference* Policy COMMENCEMENT Date DD slash MM slash YYYY Policy EXPIRY Date* DD slash MM slash YYYY We hereby agree to Indemnify Foilseachain na Mara Two T/A Mara Media, its servants & agents for any liability whatsoever, whether under contract, tort (including negligence) or otherwise for: Any injury or damage to the person or property (including the exhibitions) of whatsoever nature, of the Exhibitor, (which expression shall include the Exhibitor's employees, agents, contractors or invitees) during the Event Any injury or damage to any property (including exhibitions) or any person caused either directly or indirectly by the Exhibitor during the Event Any loss to the Exhibitor not caused by a breach of our terms Any loss to the exhibitor relating to any business, loss of profits or loss of opportunity Any loss to the exhibitor resulting from or connected to any force majeure or act of God Name First Last Date* DD dot MM dot YYYY Position In Company By checking this box we hereby consent to be bound by the terms as set out above. We confirm that all of the details as set out above are true and accurate to the best of our knowledge, information and belief.Consent* I agree to the privacy policy. Δ