Louisiana Non-Gaming Vendor Affidavit And Release

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Dear Prospective Louisiana Supplier:
Thank you for your interest in conducting business with the Boyd Gaming Properties in Louisiana. Boyd
Gaming, in conjunction with State of Louisiana documentation standards, requires potential Louisiana suppliers
to complete and submit a Louisiana Non-Gaming Vendor Affidavit and Release form to attest to the business’
status as a Louisiana business, company, or corporation.
Please be sure to thoroughly review the business categories on the Louisiana Non-Gaming Vendor Affidavit
and Release and only select those categories that apply to your company. To help avoid processing delays,
please ensure that all applicable questions and required information are thoroughly completed. In addition,
please note that there are additional non-gaming vendor permitting requirements for any vendors that expect to
provide in excess of $200,000 in goods or services to any individual Boyd Gaming property in Louisiana within
a calendar year.
Upon completion of the information, please send the original copy of the notarized Louisiana Non-Gaming
Vendor Affidavit and Release and a copy of your Minority or Women owned Business Enterprise certification
if applicable, via Express Mail or Federal Express to the appropriate address(s) noted below. Faxed forms will
not be accepted and will delay the supplier application process.
Delta Downs Racetrack Casino and Hotel
Attn: Purchasing Manager
2717 Delta Downs Drive
Vinton, LA 70668
Sam's Town Hotel and Casino Shreveport
Attn: Purchasing Manager
315 Clyde Fant Parkway
Shreveport, LA 71101
Treasure Chest Casino
Attn: Purchasing Manager
5050 Williams Blvd
Kenner, LA 70064
Completing the Louisiana Affidavit and Release does not guarantee any contracts or that we will do business
with you. This is a necessary requirement which may allow you to competitively bid on goods and services in
the future. Once again, we thank you for your interest in doing business with the Boyd Gaming’s Louisiana
properties. If you have questions or require any additional information concerning the application process,
please submit by clicking “Contact” on the supplier application website.
Updated February, 2012

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