Please see page 2 for the PSAV Electrical Services Rental Form

EXHIBITOR SERVICES ORDER FORM
Exhibit Booth Info
Please complete the requested information below
Program:
Hyatt Regency San Antonio
123 Losoya St.
San Antonio, TX 78205
PSAV Office: (210) 510-4325
EMAIL FORMS TO csherman@psav.com
COMPANY INFORMATION
EXHIBITOR COMPANY NAME
ON-SITE CONTACT NAME
E-mail Address
Set up Date:
Set up Time:
End Date:
End Time:
Pre-Event
On-Site
B&W Laser Jet Printer
Rate
$175.00
Rate
$250.00
Additional Toner
$100.00
40" LCD Monitor w/ Floor Stand *
$585.00
55" LCD Monitor w/ Floor Stand *
Computer Display Equipment
City, State, Zip
(
)
Telephone Number
(
)
Fax Number
Payment Terms & Conditions
Full payment, including sales tax, is due in advance.
Purchase orders are not accepted. Cancellations less
than 24 hours prior to exhibit load-in will be charged a oneday rate.
The equipment requested in this order is being rented for
the specified period of time only.
Any equipment rented is for use in the exhibit booth only.
Equipment may not be removed without the written
permission of PSAV
All equipment must be returned to PSAV in the same
condition as it was in at the time of delivery, normal wear
and tear excluded.
Exhibitor agrees to be billed for any damages or loss of
equipment while in exhibitors care or control
Days
TOTAL
=
$150.00
X
=
$685.00
X
=
$890.00
$990.00
X
=
PC Laptop Computer
$230.00
$280.00
X
=
Remote PowerPoint Slide Advancer
$60.00
$85.00
X
=
Pre-Event
On-Site
$135.00
$225.00
X
=
DVD/ VHS Player
$75.00
$100.00
X
=
LCD Projector 2600 - 4000 Lumens
$455.00
$555.00
X
=
20"-36" AV Stand or Cart w/Skirt
$30.00
$55.00
X
=
6x6 Tripod Screen
$90.00
$140.00
X
=
*On-site requests may take up to 5 hours to fulfill,
based upon availability.
21" LCD Monitor (XGA)
Miscellaneous Equipment
Qty
Days
TOTAL
Pre-Event
On-Site
Laptop Speakers
$45.00
$75.00
X
=
DID Telephone Line*
$160.00
$185.00
X
=
Pre-Event
On-Site
$555.00
$740.00
X
=
$160.00
$185.00
X
=
Lighting & Rigging Services
Pre-Event
On-Site
Vinyl Banner Hanging (Per Banner)
On Airwall Only, under 32 ft²
$150.00
$300.00
Qty
Days
TOTAL
*Long-distance charges will apply - call for details
Internet Access
Wired High Speed Internet- Single User Access
A representative must be in your booth to sign for
delivery of equipment.
Qty
X
Video Equipment / Other
Address
Booth #
Wireless High Speed Internet-Single User Access
Qty
Days
Qty
Days
X
Please see page 2
for the PSAV Electrical Services Rental Form
(required for exhibit booth power needs).
For specialty equipment not listed, including special lighting & RIGGING requests,
please call 210-510-4325 for quote.
Orders received less than 15 days before exhibit set-up
will be charged on-site rates.
PAGE 1 TOTAL COST
Equipment Total
$
On-site support / delivery ADD 23%
$
SUBTOTAL* $
*8.125% Sales Tax will be added to every order
PAGE 1 TOTAL
TOTAL
$
PSAV Exhibit Services Hyatt Regency San Antonio
TOTAL
=
PSAV / HYATT REGENCY SAN ANTONIO ELECTRICAL SERVICES / RENTAL FORM
COMPANY NAME
COMPANY ADDRESS
CITY
STATE, ZIP
FUNCTION LOCATION
EMAIL
CONVENTION GROUP
BOOTH #
ON-SITE CONTACT
-
SET-UP
PH. NO.
BREAKDOWN
DATE
DATE
TIME
TIME
Office: 210-510-4325
YOUR ORDER MUST BE RECEIVED NO LATER THAN 10 BUSINESS DAYS BEFORE DATE OF SERVICE TO ENSURE TIMELY INSTALLATION
STANDARD LABOR RATES: MONDAY - FRIDAY 8AM - 5PM. ADDITIONAL LABOR CHARGES MAY APPLY FOR AFTER HOURS, HOLIDAY AND WEEKEND SERVICE.
ELECTRICAL
ADVANCE
ORDER
# DAYS Quantity
# DAYS Quantity
FLOOR ORDER
120 VOLT/SINGLE PHASE SERVICES:
Per Day Cost
Per Day Cost
Single Outlet Service (5 amps) NOT DEDICATED
$
50.00
$
55.00
Single Outlet Service (20 amps) DEDICATED
$
120.00
$
132.00
Power Strip (rated for 15amps)
$
20.00
$
22.00
25' - 50' Extension Cord
$
20.00
$
22.00
100' Extension Cord
$
50.00
$
55.00
TOTAL PRICE
ADDITIONAL ELECTRICAL SERVICES
ADVANCE
ORDER
# DAYS Quantity
# DAYS Quantity
FLOOR ORDER
TOTAL PRICE
SERVICES AVAILABLE:
30 AMPS EACH
$
290.00
$
100 AMPS EACH
$
655.00
$
319.00
720.50
200 AMPS EACH
$
1,305.00
$
1,435.50
400 AMPS EACH
$
2,610.00
$
2,871.00
GENERAL INFORMATION: Wall outlets or columns are not a part of the rental space and are not to be used. Charges for electrical service listed, do not include repair of outside
equipment or any control wiring. Service does include power to one point and one connection. Motors of one-half housepower or more must be equipped with a safety switch. If 24-hour
service is required, please describe your requirements and our staff will furnish a quote. PSAV and/or Hyatt reserves the right to refuse connections where wiring constitutes a safety or
fire hazard. All materials and equipment furnished by PSAV and/or Hyatt will remain the property of PSAV and/or Hyatt. Prices subject to change without notice.
ELECTRICAL RATE SCHEDULE: For request of more than 4 outlets, you must request a heavy duty service and specify the number of outlets required. Four outlets constitutes a 20
AMP circuit. NOTE: Please include a diagram of floodlight and outlet locations. Cable for dimmer boards or special outlets must be supplied by the exhibitor/outside co.
SPECIAL SERVICE UNITS: In those instances where your needs cannot be classified under either Standard Service or Heavy Duty Service, please describe your requirements. This
work will be done and charged on a time and material basis.
PAYMENT INFORMATION
Subtotal $
Tax (8.25% of subtotal) $
Labor (estimated by PSAV) $
TOTAL $