service contractors--conventions & expositions STL, Ltd
Transcription
service contractors--conventions & expositions STL, Ltd
STL, Ltd. service contractors--conventions & expositions 950 Richards Blvd. Sacramento, CA 95811 (916) 447-5000 FAX (916) 447-1133 [email protected] Dear Exhibitor: We are pleased to announce that we have been selected as the official service contractor for the SACRAMENTO ARTS FESTIVAL October 1 - 3, 2010 at the Sacramento Convention Center The sponsors are providing you with the following: 1. Exhibit booth 8’ x 10’ or 10’ x 10’ including 8’ high back wall and 3’ high side dividers, draped in solid white 2. Exhibitor ID sign including name and booth number 3. One 500 watt, 120 volt duplex electrical outlet SERVICE FORMS Enclosed please find order forms for furniture and additional electrical service you may require. If you wish to place an order for equipment or services, please fill out the forms completely and return, with payment, to our office. ELECTRICAL SERVICE Each booth comes with a maximum of 500 watts (5 amps) of power. You must return the Electrical order form if you plan to use more than the 500 watts provided for your exhibit or demonstration items. ADDITIONAL SERVICES Telephone lines are also available; please refer to the enclosed order form. Any orders or payments for this service should be forwarded directly to Wombo. PAYMENT Payment is required when all orders are placed. Orders may be faxed if accompanied by a completed payment policy/credit card authorization form. If you must add to your order, or if you are a late registrant, you may order at the show site. Please be prepared to pay with cash, check, or for your convenience, VISA, MasterCard or American Express. Please note that a $25.00 fee will be charged for declined credit cards and returned checks. Any mailed or faxed orders received, with payment, by September 21, are entitled to the discount price. QUESTIONS AND ADJUSTMENTS Any questions or concerns regarding items or services ordered MUST BE REPORTED to the STL service desk at the show, or by phoning our office at (916) 447-5000 prior to show opening. Your problem will be solved and/or any valid adjustment will be made to your account at that time. CREDITS AND ADJUSTMENTS WILL NOT BE MADE BASED ON SUCH INFORMATION RECEIVED AFTER THE SHOW OPENS. IF YOU HAVE ANY QUESTIONS OR SPECIAL NEEDS AND REQUIREMENTS, PLEASE CALL AN EXHIBITOR SERVICE REPRESENTATIVE AT OUR OFFICE. WE ARE DEDICATED TO ASSISTING YOU IN MAKING THIS A MOST SUCCESSFUL SHOW. STL, Ltd. service contractors--conventions & expositions 950 Richards Blvd. Sacramento, CA 95811 (916) 447-5000 FAX (916) 447-1133 [email protected] SHOW INFORMATION AND DUE DATES SACRAMENTO ARTS FESTIVAL October 1 - 3, 2010 Sacramento Convention Center EXHIBITOR MOVE-IN: Thursday, September 30, 2010 12:00 Noon – 9:00 p.m. Friday, October 1, 2010 7:00 a.m. – 10:00 a.m. SHOW HOURS: Friday, October 1, 2010 12:00 Noon – 9:00 p.m. Saturday, October 2, 2010 10:00 a.m. – 7:00 p.m. Sunday, October 3, 2010 10:00 a.m. – 5:00 p.m. EXHIBITOR MOVE-OUT: Sunday, October 3, 2010 5:00 p.m. – 10:00 p.m. STANDARD BOOTH EQUIPMENT: Each 8’ x 10’ or 10’ x 10’ booth is provided with the following: • • • 8’ high back wall and 3’ high side dividers draped in solid white Exhibitor ID sign including name and booth number One 500 watt, 120 volt duplex electrical outlet DUE DATES & DEADLINES CHECKLIST X DATE COMPANY SERVICE Sept. 9, 2010 WOMBO Phone lines & Equipment Sept. 21, 2010 STL, Ltd. General and Electrical Contractor REQUIREMENTS Deadline to order phone lines and equipment at advance order prices Last day to receive discount prices on equipment and services STL, Ltd. service contractors conventions & expositions 950 Richards Blvd. Sacramento, CA 95811 (916) 447-5000 FAX (916) 447-1133 [email protected] PAYMENT POLICY THIS FORM MUST BE COMPLETED Event Name: Booth Number(s): Exhibiting Company Name: Telephone Exhibitor Address: City/State/Zip: PAYMENT TERMS Full payment must accompany all orders. In order to obtain discount prices we must receive your order, with payment, no later than 10 days prior to show opening. For your convenience we accept cash, check, Visa, MasterCard, or American Express. Purchase orders are not considered payment. A completed credit card authorization must be submitted with your orders. This authorization will be used to cover any charges, which may include labor and material handling, not included with your initial payment. NOTE: A $25.00 fee will be charged for declined credit cards and returned checks. THIRD PARTY BILLING If your company contracts work to a display house, and requires services from STL, Ltd., the above terms will apply. Each exhibiting company is ultimately responsible for any charges incurred on its behalf. In the event that your display house does not remit payment to STL, charges will become the responsibility of the exhibiting company. ELECTRONIC SIGNATURE Completion and electronic submission of this form represents an acceptance of the following policy. Any and all charges incurred on behalf of the exhibiting company will be applied to the credit card provided below. It is understood that the electronic signature and email time and date stamp will stand in place of a physical signature on all forms. ADJUSTMENTS Adjustments to your charges will not be made after the show closes. Any questions or concerns regarding items or services ordered must be reported to the show-site service desk. Some items are subject to cancellation fees; refer to each order form for more information. CREDIT CARD CHARGE AUTHORIZATION Charge to: VISA MASTERCARD AMERICAN EXPRESS Account #: Exp. Date: Customer Code #: (The 3 digit code is located on the back of Visa and MasterCards) (The 4 digit code is located on the front of American Express cards) Cardholder’s Name (Please Print): Cardholder’s Address: City/State: Cardholder’s Phone # Zip Cardholder’s Signature: FOR OFFICE USE ONLY – DO NOT WRITE HERE DATE: AMOUNT DATE: AMOUNT DATE: Furniture – 210 Furniture – 210 Furniture – 210 Carpet – 211 Carpet – 211 Carpet – 211 Electrical – 213 Electrical – 213 Electrical – 213 Labor – 214 Labor – 214 Labor – 214 BC - 215 BC - 215 BC - 215 Sign – 216 Sign – 216 Sign – 216 MH – 217 MH – 217 MH – 217 Other - 218 Other - 218 Other - 218 TOTAL TOTAL TOTAL AMOUNT STL, Ltd. 950 Richards Blvd. Sacramento, CA 95811 (916) 447-5000 (916) 447-1133 Fax [email protected] service contractors – conventions & expositions P A B F H P H B F 40” diameter x 30” high starbase table 40” diameter x 40” high starbase table Upholstered side chair Upholstered counter stool 4’x8’ bulletin board A I J M N O S T Grey contour chair Black plastic side chair Black padded counter stool Draped display table Draped display counter 22”x28” vertical sign stand Literature rack S O N J I H L T E H L Q M 24”x36”x17” cocktail table Upholstered counter stool Black padded lounge chair 30” diameter x 40” high cocktail round E Q R U C D G K R U U 24”x36”x30” side table 24”x24”x30” side table Upholstered arm chair Black plastic arm chair Easel Bag holder/Coat tree D C K G DO NOT WRITE IN THIS SPACE-FOR OFFICE USE ONLY service contractors conventions & expositions STL, Ltd. 950 RICHARDS BLVD SACRAMENTO, CA 95811 (916) 447-5000 Furniture Order Form FAX (916) 447-1133 Arts10 Discount Regular Qty Description Price Price Amount Qty Description DISPLAY TABLES, 24” WIDE X 30” HIGH White Blue Burgundy 65.00 80.00 80.00 100.00 8’ Table, Draped 3 Sides (Circle Color) 100.00 110.00 4th Side Draping (6’ or 8’) 30.00 40.00 You may deduct 25% if table is NOT skirted < White Burgundy > Red Gold Black Teal Green Silver 4’ Counter, Draped 4 Sides (Circle Color) 75.00 90.00 6’ Counter, Draped 3 Sides (Circle Color) 90.00 110.00 8’ Counter, Draped 3 Sides (Circle Color) 110.00 130.00 4th Side Draping (6’ or 8’) 35.00 45.00 You may deduct 25% if table is NOT skirted < 85.00 100.00 9’ x 20’ 170.00 200.00 9’ x 30’ 255.00 300.00 > Standard Carpets include front aisle taped only. Corner and Island booths require additional taping .50/ ft .60/ ft FULL EXHIBIT CARPETING CUT TO FIT SPACE To calculate square feet: _____ LENGTH X _____ WIDTH = _____ SQ FT Cut to fit carpeting Color: Red 1.35/sq ft 5.00 7.00 Upholstered Lounge Chair (Black) 45.00 60.00 Black padded counter stool 55.00 65.00 Wastebasket Easel 15.00 30.00 18.00 45.00 Cocktail Table 24”x36”x17” high Pegboard 4’ x 8’ (woodgrain, on stand) 35.00 45.00 Check One: Horizontal Vertical 60.00 90.00 60.00 90.00 TABLETOP RISERS - 12” Wide x 12” High Blue Grey Burg Teal Black Green Additional aisle taping (per linear foot) 50.00 45.00 Check One: Horizontal Vertical If no color is selected, grey carpet will be installed Color: Red 40.00 35.00 Bulletin Board 4’ x 8’ STANDARD CARPETING 9’ x 10’ Amount ACCESSORIES If no color is selected, we will match the show colors Blue Price Folding Chair DISPLAY COUNTERS, 24” WIDE X 40” HIGH Select Color: Price Molded Arm Chair Molded Side Chair Red Gold Black Teal Green Silver 4’ Table, Draped 4 Sides (Circle Color) 6’ Table, Draped 3 Sides (Circle Color) Regular CHAIRS AND STOOLS If no color is selected, we will match the show colors Select Color: Discount 1.65/sq ft Blue Grey Burg Teal Black Green 4’ Table Riser, with white cover 30.00 35.00 6’ Table Riser, with white cover 35.00 40.00 8’ Table Riser, with white cover 40.00 45.00 BARE PIPE FRAMES 8’ high bare pipe frame (per linear foot) 12’ high bare pipe frame (per linear foot) 3.00/ft. 5.00/ft. 5.50/ft. 7.50/ft. NOTE: Exhibitors may not strip booth drape in order to use the pipe. SPECIAL DRAPING 8’ High Drapes (per linear ft) installed 5.00/ft 8.00/ft 3’ High Drapes (per linear ft) installed 3.50/ft 5.00/ft Select Color: White Blue Red Burgundy Teal Gold Green Black Silver PAYMENT POLICY: To obtain the discount price, full payment must be included with your order and all orders must be received no later than September 21. Price includes installation and all taping CARPET PADDING & PLASTIC COVERING Qualified Discount Total: To calculate square feet: _____ LENGTH X _____ WIDTH = _____ SQ FT Carpet Padding .65/sq ft .85/sq ft Plastic Covering .30/sq ft .45/sq ft Regular Total: EXHIBITOR BOOTH# ADDRESS ORDER DATE CITY, STATE & ZIP PHONE: AUTHORIZED Signature Print Name CANCELLATION CHARGE: Items ordered and delivered to booth but subsequently cancelled are subject to 50% of the above charges to cover labor involved. RETURN TO: STL, Ltd. DO NOT WRITE IN THIS SPACE FOR OFFICE USE ONLY service contractors conventions & expositions STL, Ltd. 950 RICHARDS BLVD SACRAMENTO, CA 95811 (916) 447-5000 FAX (916) 447-1133 [email protected] Electrical Order Form X STANDARD 120 VOLT ELECTRICAL OUTLETS LIGHTING Discount Regular POWER REQUIRED QTY Price AMT Price Discount Regular Price Price ITEM DESCRIPTION QTY Duplex Outlet up to 500 watts or 5 amps $80.00 $100.00 150 watt floodlight on stanchion* $47.00 $63.00 Duplex Outlet up to 1000 watts or 10 amps $110.00 $137.00 Double 150w flood on stanchion* $67.00 $89.00 Duplex Outlet up to 1500 watts or 15 amps $140.00 $170.00 300 watt floodlight on stanchion* $59.00 $79.00 Duplex Outlet up to 2000 watts or 20 amps $170.00 $212.00 500 watt flood hanging overhead** $87.00 $116.00 $102.00 $137.00 Above Duplex Outlets provided are standard type straight blade 3-wire grounding NEMA #5-20R 1000 watt flood hanging overhead** AMT Above prices include power and installation. * In-line booths only MATERIALS 25’ Edison extension cord $15.00 $20.00 Power Strip (not surge protected) $30.00 $40.00 ** Not available in some locations, additional rigging charges may apply POWER & MOTOR ELECTRICAL PANELS The following service includes a panel with a circuit breaker disconnect or fuse disconnect & will require labor & materials for final connection to exhibitor’s equipment. Refer to separate Labor order for prevailing rates. IMPORTANT: Please check voltage/phase requirements POWER REQUIRED 208v 1Ø QTY DISC PRICE $150.00 10 amps or ½ H.P. 15 amps or 1 H.P. 20 amps or 2 H.P. 30 amps or 3 H.P. 40 amps or 5 H.P. 50 amps or 6 H.P. $185.00 $230.00 $275.00 $320.00 $355.00 208v 3Ø REG PRICE $180.00 $222.00 $276.00 $330.00 $384.00 $426.00 DISC PRICE $195.00 $235.00 $300.00 $360.00 $420.00 $480.00 AMOUNT REG PRICE $234.00 $282.00 $360.00 $432.00 $504.00 $576.00 amps (see below) Quotations for service over 50 amps are calculated at a 5% increase for each 10-amp increment. Please call our office for any service over 50 amps. We are not responsible for problems arising from unlabeled or mislabeled equipment, or the use of non-standard wiring practices on exhibitor’s Double electric rates for outlets requiring 24-hour service. PAYMENT POLICY Payment is required when orders are placed. You are eligible for the “Discount prices” only if we receive your order, with payment, no later than ten (10) days prior to the first show day. Electrical Service $ Labor, if required $ Materials, if required $ TOTAL $ NOTE: ALL PRICES INCLUDE POWER USAGE AND SURCHARGE PAID TO THE FACILITIES EXHIBITOR SHOW BOOTH# ADDRESS CITY, STATE & ZIP ORDER DATE PHONE E-MAIL AUTHORIZED Signature Print Name Electrical Conditions and Regulations 1. Advance orders must be received, with payment, a minimum of ten (10) days prior to the first day of the show to qualify for the discount price. 2. The charge for outlets will be made on the basis of maximum wattage in use at the time of inspection. 3. The charge for 24 hour service is double the normal rate. 4. The minimum outlet for dedicated electrical line for computers is 2000 watts or 20 amps. 5. Building utility outlets are not part of booth space and are not to be used by the exhibitors unless specifically designated by STL, Ltd. 6. All exhibitors’ equipment shall meet N.E.C. and be clearly labeled as to type of current, voltage, phase, cycle, horsepower, etc. 7. All equipment, regardless of source of power, must comply with all federal, state, and city safety codes. 8. The use of open clip sockets, latex or lamp cord wire is prohibited. 9. Under no circumstances shall anyone other than “house electrician” make special or direct wiring electrical connections. 10. All material and equipment furnished by STL, Ltd. for this service order shall remain the property of STL, Ltd. and shall be removed only by STL, Ltd. at the close of the show. 11. All exhibitors’ cords must be of the 3 wire grounded type. All exposed non-current carrying metal parts of fixed equipment, which are liable to be energized, shall be grounded. All power and motor outlets over 3 HP or 20 amps, must have magnetic starters and disconnecting switch furnished by the exhibitor. Local ordinances prohibit more than two (2) connections per outlet box. 12. All outlets will be installed on the floor near the center backwall of the booth. 13. Rates quoted for all connections cover only bringing of service to the booth in the most convenient manner and do not include connecting equipment or special wiring. Any special or direct wiring will be done on a time plus materials basis. 14. Island and peninsula space exhibitors should provide diagrams indicating location of outlets. Labor charges may apply to these booths. 15. Claims/complaints will not be considered unless filed by exhibitor prior to close of exposition. 16. Credit will NOT be given for outlets or lights installed and not used. 17. Unauthorized use of power not paid for will result in shut-down of electrical service. 18. STL, Ltd. is not responsible for voltage fluctuations or power failure because of temporary conditions. Telecommunications, Internet & Equipment Rental Services Order Form Please complete this Order Form and fax back to: 1.877.996.6846 Questions? Please contact our office at: 1.877.722.4108 Sacramento Convention Center Event: ____________________________________________________ Date(s): ____________________ Booth/ Rm #(s): ___________________ Company: ____________________________________________________ Address: _________________________________________________ City/ State/ Country, Zip: _________________________________________________________________________________________________ (On Site) Contact: _____________________________________________________________ Phone : ___________________________________ E-mail:_______________________________________________________________________ Fax : ____________________________________ TELEPHONE SERVICES QTY Standard Phone Line - Includes a non-refundable $25 Toll/ Long distance Fee. Charges incurred over that amount will be billed separately. Please indicate use: Calls Modem Both Credit Card Machine Phone Instruments & System Features: • Single Line Phone Handset • • *ADVANCED STANDARD $255 $300 ______ ______ ______ Cordless Phone Handset Polycom Full Duplex Conference Phone HIGH - SPEED INTERNET SERVICES QTY $25 $50 $125 *ADVANCED STANDARD $697 $820 Additional Shared High-Speed Internet Connection Existing Shared Internet Connection orders only! (1) Wired connection (10) Additional connections max may be added, Hub and Cables not included. ——— $150 Wireless Internet Available upon request only ——— ——— 3MB Dedicated High-Speed Internet Connection (1) Private wired 1.5Mbps synchronous Internet drop, (29) Devices max, Hub & Cables not included. $2,975 $3,500 6MB Dedicated High-Speed Internet Connection (1) Private wired 3.0Mbps synchronous Internet drop, (29) Devices max, Hub and Cables not included. $4,675 $5,500 10MB Dedicated High-Speed Internet Connection (1) Private wired 5.0Mbps synchronous Internet drop, (29) Devices max, Hub and Cables not included. $6,375 $7,500 VLANS $1,275 $1,500 8 Port Hub and Cables ——— $125 24 Port Hub and Cables ——— $175 50’ of Cat5 Ethernet Cable ——— $50 *ADVANCED STANDARD ——— ——— $1,500 Call for Pricing *ADVANCED STANDARD ——— $125 Shared High-Speed Internet Connection (1) Wired 512Kbps - 1.5Mbps burstable Internet connection. TOTAL TOTAL NO SERVERS OR GATEWAYS ALLOWED ON SHARED NETWORK - CALL FOR DETAILS - OUTSIDE WIRELESS DEVICES ARE STRICTLY PROHIBITED UNLESS AUTHORIZED BY WOMBO INC. SPECIAL SERVICES QTY Dry Pair Order & Extension of 3rd Party Circuit: • Extension of 3rd Party Lines from Demarc • Fiber Runs & Cross Connects *COMPUTERS & SOFTWARE Laptop Core2 Duo, 1GB RAM, 160GB HD, DVD-Burner, Win XP/PRO QTY Desktop Systems *Call for Discount Pricing & Quote Microsoft Office (Includes: Word, Excel, PowerPoint, Access & Outlook) Included *Call for Discount Pricing & Quote Cybercafé or Kiosks (5 or more Systems) ——— TOTAL TOTAL Pg. 1/3 MONITORS QTY *ADVANCED STANDARD 20” Flat Panel Monitor ——— $75 23” Flat Panel Monitor ——— $150 *Call for Discount Pricing & Quote 32” - 65” Flat Panel Monitor 6’ Flat Panel Stationary Pole Stand ——— $125 6’ Flat Panel Rollaway Stand w/ Shelf ——— $175 Flat Panel Monitor Wall Mount ——— $25 *ADVANCED TOTAL Network Laser Printer ——— $75 Printer/ Fax/ Copier/ Scanner All-In-One ——— $125 *ADVANCED TOTAL Wireless Keyboard & Mouse ——— $25 Computer Speakers ——— $25 DVD Player (Standard RCA/ S-Video) ——— $75 AC Power Strip w/ Surge Protector ——— $15 10’ VGA Cable ——— $15 10’ RCA to 1/8” Headphone Jack ——— $25 Labor Rate Additional Shared High–Speed Internet and Dedicated High-Speed Internet Connection orders are 1hr labor minimum, Price includes termination. ——— $125/hr (1 hr Minimum) ——— $100 FAXES & PRINTERS QTY MISCELLANEOUS Expedite Fee All orders placed on-site TOTAL QTY —— * ADVANCED RATE: ALL ORDERS PLACED 21 DAYS PRIOR TO EVENT MOVE–IN DATE. * RENTAL SERVICES: PRICING IS A PER DAY CHARGE FOR ALL RENTAL EQUIPMENT. DISCOUNTS BASED ON QUANTITY & DAYS. CALL TODAY FOR A QUOTE! * CALL TODAY FOR GROUP RATE DISCOUNTING!!! 8.75% Sales Tax (Equipment Only) Add $75 Delivery (Equipment Only) GRAND TOTAL updated 1/2010 TERMS AND CONDITIONS TELECOMMUNICATIONS AND INTERNET SERVICES 1. All Telecommunication and Internet orders are based on availability and will be accessible on the day of show only. 2. Wombo, Inc. is not responsible for loss of communication services caused by the LEC (Local Exchange Carrier) and/or Long Distance Carriers or ISP (Internet Service Providers). 3. All ISDN Lines (2B+D) will be provisioned “Intel Blue” unless otherwise specified. 4. Only Wombo personnel are authorized to modify system wiring or cabling. 5. All materials and equipment furnished by Wombo, Inc. remains the property of Wombo, Inc Replacement charges maybe incurred for misuse or loss of equipment. 6. All equipment rented from Wombo, Inc. must be returned at the end of the event to a Wombo Representative. Any equipment lost, stolen or damaged will be charged back to customer. EQUIPMENT RENTALS 7. All Rental Orders are based on availability at time of order. 8. Wombo, Inc. reserves the right to choose product brand. You may request a specific brand or product, which may result in a higher charge. 9. Only Wombo personnel are authorized to modify equipment. 10. Please report any equipment malfunction to Wombo, Inc immediately. Credit will not be given if reported after the event. 11. Wombo, Inc is not responsible for software compatibility issues. Customer will be charged a $75 fee for troubleshooting customer installed software. 12. All materials and equipment furnished by Wombo, Inc. remains the property of Wombo, Inc. Replacement charges will be billed for misuse or loss of equipment. 13. All equipment rented from Wombo, Inc. must be returned at the end of the event to a Wombo Representative. Any equipment lost, stolen or damaged will be charged back to customer. Pg. 2/3 TERMS AND CONDITIONS (Continued) ORDERING INFORMATION: 14. Please provide all information requested on the form for speedy processing of your order. 15. An Onsite contact MUST be given to receive your items on show site. 16. For In booth cabling, please provide a scaled drawing of your booth indicating line placement. 17. Facility cannot be held liable for services provided by Wombo, Inc. 18. Exhibitor must be present in booth to accept delivery or a repeat delivery charge will apply. 19. Any long distance charges for phone or ISDN services will be billed separately. 20. All prices are subject to change, Wombo Inc. will provide notice of change at time of your order. 21. Wireless Internet Services requires us to install software on your computer. Wombo, Inc. cannot be held liable for lost data or if card is not compatible with your system. Card must be returned to Wombo. PAYMENT TERMS: 22. Full payment MUST accompany all orders. 23. Credit will not be given for service installed and not used. 24. Wombo, Inc. accepts payment in US dollars, Checks drawn on a US Bank, Wire Transfers, or the following credit cards: (VISA, MC, AMEX) Make all checks payable to: Wombo, Inc. 25. There will be a $30.00 service charge for returned checks. 26. There is a expedite fee of $100 if services are ordered on-site. 27. All Wire Transfers must include Bank Transfer Fee of $45.00 28. When paying by check, credit card information must be provided for incidentals. CANCELLATION & REFUNDS: 29. Cancellations must be in writing on company letterhead with-in 72hrs. of event move-in date in order to receive a refund. 30. A $150 cancellation fee applies to all processed orders under $1,000. All processed orders exceeding $1,000 will be charged a 15% cancellation fee. Additional fees may apply if services have been ordered to the MPOE before any cancellation request has been received and/ or special item orders have been filled. 31. Refunds will be processed within 30 days of show closing. 32. No credits will be issued after delivery or attempted delivery of rented equipment. PAYMENT INFORMATION: Credit Card ( VISA / MC / AMEX ) Company Check / PO# Credit Card #/ PO #: ____________________________________________________ CVV2 #: ______________ Expiration: ________/________ Billing Address on Card: _________________________________________________________________________________________________ City/ State/ Zip: ________________________________________________________________________________________________________ Name on Card: __________________________________________________ Signature: ______________________________________________ Company Contact (if other than name on card): __________________________________________ Phone: _______________________________ E-mail: __________________________________________________________________________ Fax : ________________________________ By signing above you have agreed to the terms and conditions of this contract . Any late charges or additional fees will be billed directly to this credit card. Federal Tax ID # 77-0485659 • Questions regarding services— Call 1.877.722.4108 • • Faxing orders— Please dial 1.877.996.6846 Mailing Payment— 8733 Magnolia Ave., Suite 100, Santee, CA 92071 • Email us— [email protected] FOR OFFICE USE ONLY: Check Number: _____________________________________ Approval Number: ______________________ Date: ______/ ______/ ______ Pg. 3/3