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620 Village Road, PO Box 2115, Breckenridge, CO 80424
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Office 970-453-8712/ Fax 970-453-8787 or Email: Alutts@beaverrun.com
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EXHIBITOR SERVICE ORDER FORM
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Name of Convention
Booth #
Exhibit Set Up Date(s)
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Exhibitor Name / Company
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All orders must be received with payment to Beaver Run Conference Services. There will be a $20.00 service charge for each item not ordered in advance
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# of Cost
Serv Charge
Resort Fee
TaxCost PerTotal
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Quantity
DaysDESCRIPTION21%5.5%8.88%DayDue
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Duplex Outlet 120V, 60 HV 1 Phase 15 Amps* 30.00 6.30 2.18 3.41 41.89 -
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Outside Telephone Line (9+) 75.00 15.75 5.45 8.54 104.73 -
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Conference Speaker Phone 135.00 28.35 9.80 15.37 188.52 -
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High-Speed Wireless Internet Connection 50.00 10.50 3.63 5.69 69.82 -
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Wired Internet Connection 250.00 52.50 18.15 28.46 349.11 -
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19" LCD Computer Monitor 150.00 31.50 10.89 17.07 209.46 -
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40" LCD Computer / TV Monitor 300.00 63.00 21.78 34.15 418.93 -
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55" LCD Computer / TV Monitor 500.00 105.00 36.30 56.92 698.22 -
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Grand Total Due -
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This list does not include all available AV Services. For additional needs contact Image AudioVisuals.
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*Additional power services are also available including high amperage circuits, 208v and 240v connections. These services require an advanced
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consultation with our on site AV department, Image AudioVisuals, to ensure appropriate connections are provided. They can be reached
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at summit@imageav.com
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Best effort will be made to accommodate all requests but those needing wiring by licensed electrician must be made 72 hrs in advance.
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Form of Payment:
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Group
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Master:Check:
Credit Card:
(Visa - Master Card - American Express - Discover - Other___________ )
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Credit Cards will be processed after the group's departure
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Credit Card #
Expiration Date
CVC Code
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Name on Credit Card:
Phone Number
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Address:
City, State, Zip:
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Authorized Name (please print)
Authorized Signature
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Email Address:
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Notes:
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