Full Name of Event Location of Event Event at Washington Convention Center Location at Washington Convention Center: Event Dates & Times Estimated Attendance of Event Alcohol served? - Select -YesNo Number/Type of Providers Needed: Email Address Confirm Email Address Confirm Email Address Confirm Email Address Phone Number Client Registration Form Primary Contact Information Business Name Contact Person Street Name Street Address Line 2 City State Zip Code Email Address Phone Number Client/Account Information All information is same as above Business Name (Full Legal Name) Contact Person Street Name Street Address Line 2 City State Zip Code Email Address (To Receive Contract) Phone Number Invoicing Information (Invoices will be sent within 30 days following end of event) All information is same as above Business Name Contact Person Street Name Street Address Line 2 City State Zip Code Email Address* (To Receive Invoice) Confirm Email Address Confirm Email Address Confirm email Phone Number Request for MFA Certificate of Insurance (Optional) Certificate Holder Name: Name of Additional Insured* Relationship to person above: Name of Additional Insured* Relationship to person above: Name of Additional Insured* Relationship to person above: *MFA will only add Client as an additional insured on MFA's professional liability insurance policy. CAPTCHA Math question 1 + 2 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit Leave this field blank
