Sampling Partnership - Kumite Classic

Please fill out the form below to join our sampling partnership program:

Company Name:

Contact:*

First

Last

Product(s) Name:

Quantity:

E-mail:

Cell Phone for text:*

Area Code

Phone Number

Address:

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Referral

Bill Viola

Cody Stark

Jenn Viola

Jordan Maybach

Other:

WAIVER:

LIABILITY RELEASE

This is a legally binding liability release, waiver, discharge and covenant not to sue (the “Release”), made by me, the undersigned, to Kumite Classic Entertainment Corp.

I the undersigned (print first and last name):

The above company and it’s representatives releases KUMITE CLASSIC ENTERTAINMENT from any and all liability arising from the production, distribution and consumption of any of the sampling items and food or beverage products distributed to the public in conjunction with this event.

I have read and agree to the above*

YES

Digital Signature (Participant)*

Date:*

Upload your logo: or email directly to bill@kumiteclassic.com (.eps, .png, or high res .jpeg

All products/samples must be delivered on or anytime before May 23rd 2016. Pittsburgh Fitness Expo 12421 St. Nikolai Dr. North Huntingdon, PA 15642

Upon approval of your application, a representative of Kumite Classic will contact you about further details. Thank you for your submission.