REGISTRATIONS FOR THIS EVENT IS NOW CLOSED.

Complete the following form ONLY if you have special permission to do so since it’s after the July 31st deadline.

To RSVP, please complete and sign the form below no later than July 31st.

Note: Every person attending must submit their own registration form. Remember, this is an all-day event since we are combining all Pollock branches and vendors into one day, so please try to make sure your table is covered by a rep for the full event (make a note if you cannot stay the entire time).

First Name(Required)
*NOTE: THIS INFORMATION WILL BE ON YOUR NAME BADGE*
First Last

Title(Required)

Vendor Partner Company (Select one)(Required)

Email(Required)

Phone(Required)

Is it okay to share your contact information with Pollock attendees?(Required)
Yes
No

Which Pollock market(s) do you currently cover?(Required)
DFW
Atlanta
Houston
San Antonio/Austin
Other

Other Market(s):(Required)

Would you like lunch? (Buffet)(Required)
Yes
No
Maybe?

Will you attend the Pollock FY2024 Awards Banquet?(Required)
As a Platinum Sponsor for the 2024-25 Partnership Program, you are invited to attend the FY2024 Pollock Annual Sales Awards Banquet immediately following the Vendor Round Tables event.
Cocktails start at 5:30, dinner starts at 6:30 and the awards ceremony will go to ~9:00pm.
Yes
No

What is your Dinner Entrée preference?(Required)
HERB GRILLED CHICKEN with seasonal vegetables & tomato cucumber relish, & white cheddar mashed potatoes
BRAISED SHORT RIBS with red wine demi glaze over creamy polenta, seasonal vegetables & white cheddar mashed potatoes
VEGETABLE STACK fresh seasonal vegetables with penne pasta & fresh baked rolls (Vegetarian/Vegan)
NONE - no meal

Any Dietary Restrictions?(Required)
No
Yes

Details?

Vendor Game Question/Answer:(Required)
Please help us out and provide 1 question and answer (can be multiple choice, easy fill in the blank or true/false) about your company or your company's specific product(s) that we can possibly ask the Pollock team after they have spoken with your company at the Round table event.
Before they move on, Pollock Associates will scan a QR code on your table and a question will pop up on their phones. If they answer it correctly, they get a point. Winner(s) get a prize! Even a suggestion for us to write a question would be helpful...

Will you be needing a room on the Embassy Suites Pollock room block?(Required)
You are responsible for payment and booking, but we can add you on to the list for the group rate of $159/night.
Yes - Thursday Night, 22nd (night before)
Yes - Friday Night, 23rd (night after)
Yes - both nights
No

Any Questions, Comments or Special Accommodations?

Please Read, Confirm and Sign:(Required)

EVENT WAIVER & RELEASE FORM
This Liability Waiver & Release Form (the “Agreement”) is a written agreement between Pollock Investments Inc., d/b/a Pollock Orora (the “Company”) and the individual who is attending (the “Participant”) this Vendor Showcase and/or Pollock Orora Sales Meeting/Banquet (the "Event"). The Agreement is being entered into in consideration of the benefit of participating in the above referenced Company event. The Participant hereby acknowledges and agrees to the following:

1. Voluntary Participation. Participant understands and confirms that participation in the Event offered by the Company is voluntary. The Participant warrants that he or she is in overall good health and that no bodily or mental condition would create an unreasonable risk of harm to himself or herself in participating in any activities or games at the Event that requires physical or mental exertion.

2. The Assumption of Risk. Participant understands and acknowledges that there may be potential risks involved related to participation in the event. Participant assumes all risks, known and unknown, in any way connected with the Participant’s participation in the event. Participant accepts full responsibility for any liability, injury, loss, damage or death in any way connected with participation in the event. Participant acknowledges that participation in the event is at the Participant’s sole risk. Participant releases the Company and its owners, officers, directors, managers, officials, trustees, agents, employees, or other representatives from any and all liability or claims which may arise from participation in the event.

3. Consumption of Alcohol. Participants twenty-one (21) years of age and older are able to drink alcohol during the event, if applicable, should they choose to do so. However, alcohol consumption is at the Participant’s own discretion, risk, and liability. Excessive alcohol consumption is not condoned by the Company. The Participant hereby assumes all risks involved with the consumption of alcohol and unconditionally holds the Company harmless.

4. Modification. The provisions of this Agreement can only be modified by a written instrument executed by an authorized agent of the Company.

5. Entire Agreement. This Agreement constitutes the entire Agreement and understanding between the Participant and the Company, and cancels, terminates and supersedes any prior agreement or understanding relating to the subject matter hereof.

6. Severability. If any part of this Agreement is found to be void by law, the remaining provisions of this Agreement will nevertheless be binding with the same effect as though the void portions were deleted.

7. Governing law. The construction and meaning of the terms and provisions of this Agreement will be interpreted in accordance with the laws of the state of Texas.

8. Binding Effect. Participant acknowledges that this Agreement is binding upon Participant’s heirs and assigns, personal representative, beneficiaries and next of kin.
By signing this Agreement, I, the participant, and my guest (if applicable), agree to waive any present or future claims, and will release and hold harmless the Company from any and all liability as a result of any injuries/and or damages suffered or incurred while attending the Company sponsored event or on the premises belonging to the Company, for any reason, whether consuming alcohol or not.
I CONFIRM I HAVE CAREFULLY READ AND FULLY UNDERSTAND ALL PROVISIONS OF THIS RELEASE, AND FREELY AND KNOWINGLY WAIVE MY RIGHTS CONCERNING LIABILITY AS DESCRIBED ABOVE.

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Today's Date(Required)
MM slash DD slash YYYY

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