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[]
[null,null,"EXHIBITOR AUDIO VISUAL ORDER FORM"]
[null,null,"Hilton Atlanta"]
[null,null,"255 Courtland Street, Atlanta, GA 30303"]
[null,null,"Phone: 404-221-6371; Fax:404-221-6958"]
[]
["Customer Information"]
["Show Name:","NCSA Annual Conference",null,"Show Dates:"]
["Company Name:",null,null,"Booth #:",null,"Room #:"]
["Address:",null,null,"Email:"]
["City:",null,null,"State:",null,"Zip Code:"]
["Ordered By:",null,null,"Fax:"]
["Telephone:",null,null,null,"Delivery Date & Time:"]
["Onsite Contact: ",null,null,null,"Pickup Date & Time:"]
[]
["PSAV agrees to honor the pricing below on all orders received prior to February 28, 2017.            All subsequent orders will be billed according to the 2017 Exhibitor price guide."]
["Services"]
["VIDEO COMPONENTS",null,null,"Qty","Daily Rate","# Days","TOTAL"]
["24” LCD Flat Screen Monitor w/ Table Stand",null,null,null,215,null,{"$f":" (D19)*(E19)*(F19)","v":0}]
["32\" Flat Panel Monitor w/ Stand",null,null,null,285,null,{"$f":" (D20)*(E20)*(F20)","v":0}]
["46” Flat Panel Monitor w/ Stand",null,null,null,535,null,{"$f":" (D21)*(E21)*(F21)","v":0}]
["Laptop Computer                     ",null,null,null,220,null,{"$f":" (D22)*(E22)*(F22)","v":0}]
["HIGH SPEED INTERNET ACCESS",null,null,"Qty","Daily Rate","# Days","TOTAL"]
["Basic HSIA Wireless Connection - Each   (1Mbps up/down)",null,null,null,25,null,{"$f":" (D24)*(E24)*(F24)","v":0}]
["MISCELLANEOUS POWER",null,null,"Qty","Daily Rate","#Days","TOTAL"]
["20 Amp/110v power drop",null,null,null,130,null,0]
["60 Amp power drop/ 3-20amp edison",null,null,null,280,null,0]
["Powerstrip (Power drop required)",null,null,null,20,null,0]
["RENTAL TOTALS"]
[null,null,null,null,null,"EQUIPMENT TOTAL",{"$f":"G19+G20+G21+G22+G26+G27+G28","v":0}]
[null,null,null,null,null,"HSIA TOTAL",{"$f":"G24","v":0}]
[null,null,null,null,null,"LATE ORDER FEE ($50.00 if ordered less than 14 days before show)",0]
["*Payments will be posted at time of order.",null,null,null,null,"23% Event Technology Support (ETS)",{"$f":"(G30+G31+G32)*(23%)","v":0}]
["*Orders cancelled within 48 hours of event will be posted at full price.",null,null,null,null," TAX ON ETS ( 8%) ",{"$f":"(G33)*(8%)","v":0}]
["*Dedicated Bandwidth is available to purchase for wireless & hard wire HSIA connections",null,null,null,null," TAX ON EQUIPMENT ( 8%) ",{"$f":"(G30+G32)*(8%)","v":0}]
["*Contact PSAV Hilton Atlanta for Additional Equipment & Bandwidth Needs",null,null,null,null,"TOTAL DUE",{"$f":"G30+G31+G32+G33+G34+G35","v":0}]
[]
[]
["Credit Card Authorization - Please do not email form with CC information.  Fax only or call."]
["Credit Card Number:",null,null,"Exp. Date:"]
["Card Type:","AMEX              Visa                Master Card              Discover"]
["Card Holder Name:",null,null," Email:"]
["Billing Address:",null,null,"Telephone:"]
["City:"]
["State & Zipcode:"]
[]
[]
["I, (please print) ______________________________________________, certify the above information to be true and correct to the best of my knowledge. As the cardholder, I am authorizing the above credit card account to be charged for the attached order and any additional amounts incurred as a result of all show site changes ordered by my representatives and/or place my card on file for Security Deposit purposes in the event of payment default, cancellation fees or damages/losses owed per PSAV Terms and Conditions – See Terms and Conditions."]
[]
["EMAIL THIS FORM",null,null,"CONTACT US VIA OUR WEBSITE!"]