ELECTRICAL SERVICES FO RM
Boot h N um ber _____________________________ Event N am e ____________________________________________________ Event D at es _______________________________ Inst all Locat ion In Room / Boot h ___________________________________ (Provide fl oor plan if available)
Inst all D at e & Tim e __________________________ D isconnect D at e & Tim e__________________________________________ Exhibit ing C om pany N am e ___________________________________________________________________________________ Billing Address _____________________________________________________________________________________________ Cit y ______________________________________ St at e _______________________ Zip Code __________________________ O n- sit e C ont act ____________________________ Phone _____________________ O n- sit e Phone ______________________ O rdered by _________________________________Em ail __________________________________________________________ By signing and delivering t his form ; cust om er agrees t o all t erm s and condit ions st at ed. Please read t horoughly for all inst ruct ions prior t o placing order. * * * N o checks accept ed * * * A proposal w ill be generat ed f rom t his form . O nce approved, Encore w ill cont act you for paym ent t o fi nalize order. Encore, it s cont ract ors, and subcont ract ors are not responsible for volt age fl uct uat ion or pow er failure due t o t em porary condit ions or loose connect ions. For your prot ect ion, you should inst all a surge prot ect or under/ over volt age prot ect or on your com put er(s) and/ or ot her equipm ent you deem necessary. Encore Elect rical should m ake inst allat ion of all elect rical service. Encore w ill not be responsible for any dam aged or lost equipm ent , com ponent com put er hardw are or sof t w are and/ or any dam age or injury t o any person, caused by t he inst allat ion, connect ion, or plugging int o any elect rical by persons ot her t han our personnel. N O REFU N D S O N C E SERVIC E IN STALLATIO N BEGIN S IN STALLATIO N C AN N OT BEGIN U N TIL O RD ER IS FIN ALIZED AN D PAYM EN T M ETH O D H AS BEEN RECEIVED To receive advanced pricing; Encore m ust receive your complet ed order, w it h billing inform at ion, fi f t een (15) days prior t o show m ove- in. * * * FO R 24 H O U R PO W ER, SERVIC E RATES D O U BLE * * *
PLEASE FAX C O M PLET ED FO RM C ur rent as o f 9 /21/20 21
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P: 70 2-785- 550 6
F: 70 2-785- 5531
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