Hold Harmless Agreement

Please fill in the necessary information, print out the form, sign it and either fax or e-mail it as an attachment to The Mat King:

Name: _____________________

Company Name: _____________________________

Address: ___________________________________


City: ___________________ State: ________ Zip Code: __________

Phone Number: __________________

Fax Number: ____________________

E-Mail address: ________________________.


I ________________________ agree to indemnify and hold harmless Geoffrey Drew Marketing, Inc. d/b/a The Mat King and any and all of its officers, employees and agents or sources of product from any and all claims of whatsoever nature and kind including, without limiting the generality thereto, injury to persons, damage to property and claims for economic loss, arising out of the construction, installation, quality of goods supplied hereunder, or from anything undertaken or done in carrying out our contract.

X _______________________________

Print Name: ______________________

Position with Company: _____________________

Date: _____/ _____/ _____


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740 West End Avenue; Suite 1
New York, NY 10025 USA

Phone: (646)998-4208
Fax: (646)998-4073
Phone: 800-442-6544
Fax: 800-Mats-Fax (628-7329)

Phone: 800-442-6544
Fax: 800-Mats-Fax (628-7329)

www.geoffreydrewmarketing.com www.geoffreydrewmarketing.com