Judge Application

First Name: *

Last Name: *

Title: *

Company: *

Email: *

Phone Number - Office: *

Phone Number - Cell:

Mailing Address

Street Address:

Address Line 2:

City:

State / Province / Region:

Postal / Zip Code:

Country:

Alternate Contact

First Name:

Last Name:

Phone Number:

What do you think makes you qualified to serve as a judge?: *

Are you submitting on behalf of someone else? If yes, please explain.: *

Yes

Explanation:

For which of the awards series below would you like to serve as a judge? (select all that apply): *

Slot Floor Technology Awards

International Table Games Awards

Hospitality Operations Technology (HOT) Awards

Great Women of Gaming

Are you willing to meet all deadlines as assigned by the editor, agree to follow all judging guidelines and remain fair and objective in your evaluations? If no, please explain: *

Yes

Explanation: