<p> EXHIBITS & VENDOR ORDER FORM Fax Number (216) 707-4395</p><p>*Orders will not be processed without form of payment*</p><p>Group Name: ______Today’s Date: ______Company/Exhibitor Name: ______Onsite Contact: ______Exhibitor Address______Dates of Function: ______Exhibitor Phone#______</p><p>Audio Visual Requests Quantity Item Rate Total _____ Easel $15.00 per day ______17” Monitor $125.00 per day ______46” LED Monitor (Tabletop) $425.00 per day ______55” LED Monitor (Tabletop) $550.00 per day ______DVD Player $85.00 per day ______Laptop Computer $230.00 per day ______CD Player $75.00 per day ______*Scissor Lift $450.00 per day ______(*Hotel requires a general waiver and release form to be signed prior to use of scissor lift) **All pricing subject to change**</p><p>IT &Telephone Requests Quantity Item Rate Total _____ DID Line with Local and Long Distance $100.00 per day + phone charges ______Wireless Internet Line $9.95 per line/per day ______Polycom Phone $140.00 per day ______</p><p>Electrical Requests Quantity Item Rate Total _____ 6 Outlet Power Strip $15.00 per day ______Extension Cord $15.00 per day ______110 Volt $50.00 per day ______</p><p>Boxes & Miscellaneous Quantity Item Rate Total _____ Boxes $5.00 each ______Pallets $175.00 each ______Exhibit Case $25.00 each ______Banners to Hang $100.00 each ______Sub Total ______8.00% Tax ______Grand Total ______</p><p>EXHIBITS PAYMENT FORM – RETURN TO: Email: [email protected] Fax Number (216) 707-4395 *Orders will not be processed without form of payment</p><p>Credit Card</p><p>Name of Credit Card Holder: ______Type of Credit Card: ______Credit Card Number: ______Expiration Date: ______Card Holder Billing Address: ______Card Holder E-Mail: ______Card Holder Phone Number:______</p><p>**A COPY OF THE FRONT OF THE CREDIT CARD MUST BE INCLUDED FOR VERIFICATION ALONG WITH ORDER FORM ** </p><p>The undersigned hereby authorizes InterContinental Hotels Cleveland to debit all above charges to the Credit Card Account listed above.</p><p>Card Holder’s Signature: ______Date: ______Exhibitor Shipping Instructions & Helpful Information</p><p>Address for Shipping Exhibits: </p><p>InterContinental Hotel Cleveland 9801 Carnegie Avenue Cleveland, Ohio 44106 Attention: Kathy Bonsignore / YOUR NAME AIRNC Mechanical Maintenance Conference 11.7.17-11.10.17</p><p>Load In/Out Information:</p><p>The Hotel dock is located on 100th Street and Carnegie, just beyond the Hotel Valet Drive. Pick up security phone outside of gate for entrance to the dock. The dock can handle a maximum of a 41’ box style truck dock height. No lift is available. A pallet jack is available upon request.</p><p>Elevator Information:</p><p>Main Service Elevator: S1 & S2 Door Opening: 4' wide x 7' 11" tall Floor: 5' 10" wide x 6' 8" deep Ceiling Ht: 10' front half, 12' back half Capacity: 3500 lbs.</p><p>Kitchen Service Elevator: S3 & S4 Door Opening: 4' wide x 7' tall Floor: 5'9" wide x 8' 1" deep Ceiling Ht: 9' Capacity: 4500 lbs. Damages/Lost Items</p><p>The Hotel does not assume responsibility for any damaged or lost items left in the Hotel prior to, during, or following an event.</p>