Event Equipment & Services Request Form

RoboBusiness Expo 2018

Santa Clara Convention Center

September 25-27, 2018

Advanced show pricing order deadline: September 11.

Online order form cut off date: September 20.

Your Info:

Ordered By (Your Full Name)

Firm Name

Address

City

State

Zip

Phone

Delivery Info

On-Site Contact

Phone

Equipment Use Location (Booth / Room)

Delivery Date / Time

(m/d/y) : (h:m)

Removal Date / Time

(m/d/y) : (h:m)

Comment (Optional)

Payment Info

Name On Card

Billing address is the same as above

Billing Address

City

State

Zip

Credit Card Number

Expiration Date

CVV Code (3-4 Digits)

Select Equipment

Please enter the quantity of equipment/service(s) needed.

Equipment/Service		Show Rate
		$0.00


		$0.00


		$0.00
		$0.00
	32" Flat Data Monitor	$300.00
Connection Type *
	HDMI	$5.00
Peripherals
	PowerPoint Remote	$15.00
Stands
	54" Cart w/ Skirt	$60.00
	Dual Post Stand	$220.00
	Wall Mount	$150.00
	40" Flat Data Monitor	$400.00
Connection Type *
	HDMI	$5.00
Peripherals
	PowerPoint Remote	$15.00
Stands
	54" Cart w/ Skirt	$60.00
	Dual Post Stand	$220.00
	Wall Mount	$150.00
	50" Flat Data Monitor	$500.00
Connection Type *
	HDMI	$5.00
Peripherals
	PowerPoint Remote	$15.00
Stands
	54" Cart w/ Skirt	$60.00
	Dual Post Stand	$220.00
	Wall Mount	$150.00
	60" Flat Data Monitor	$600.00
Connection Type *
	HDMI	$5.00
Peripherals
	PowerPoint Remote	$15.00
Stands
	54" Cart w/ Skirt	$60.00
	Dual Post Stand	$220.00
	Wall Mount	$150.00
	MacBook Pro Retina Display Laptop Computer System (Minimum 2.3gHz, 8GB Ram, 512GB HDD)	$500.00
	PC Laptop Computer System (Minimum 4.0gHz, 2GB Ram, 120GB HDD)	$400.00
	Compact Powered Speaker	$220.00
Mixers
	12-Ch Mixer [4-XLR Inputs]	$130.00
	14-Ch Mixer [6-XLR Inputs	$170.00
	16-Ch Mixer [16-XLR Inputs]	$210.00
Sources
	Handheld Microphone Stand	$30.00
	Laptop / mp3 Player Connection [Direct Input Box]	$50.00
	Wired Handheld Microphone	$110.00
	Wireless Microphone Kit [Lavalier Or Handheld]	$300.00
Stands
	32" Cart w/ Skirt	$70.00
	Full Range Powered Speaker	$300.00
Mixers
	12-Ch Mixer [4-XLR Inputs]	$130.00
	14-Ch Mixer [6-XLR Inputs]	$170.00
	16-Ch Mixer [16-XLR Inputs]	$210.00
Sources
	Handheld Microphone Stand	$30.00
	Laptop / mp3 Player Connection [Direct Input Box]	$50.00
	Wired Handheld Microphone	$110.00
	Wireless Microphone Kit [Lavalier Or Handheld]	$300.00
Stands
	32" Cart w/ Skirt	$70.00
	6-ft Tripod Screen	$170.00
Accessories
	Safelock Stand w/ Skirt	$60.00
	7-Ft Tripod Screen	$180.00
Accessories
	Safelock Stand w/ Skirt	$60.00
	8-Ft Tripod Screen	$190.00
Accessories
	Safelock Stand w/ Skirt	$60.00
	4,000 Lumen LCD Projector	$900.00
Connection Type *
	HDMI	$10.00
Peripherals
	Desktop Computer Speakers	$100.00
	PowerPoint Remote	$20.00
Stands
	Safelock Stand w/ Skirt	$60.00
	Color Laser Printer (200 Prints Included / Additional $0.20/page)	$500.00
Printer Accessories
	Ream of Paper	$10.00
	Black & White Laser Printer (200 Prints Included / Additional $0.10/page)	$400.00
Printer Accessories
	Ream Of Paper	$10.00
	Flipchart Package	$130.00

Equipment Total	$0.00
Service Charge (22% of Total / $99 Min)	$0.00
Sub Total	$0.00
Tax	$0.00
Total Due	$0.00

Agree to Terms:

I agree to the following terms:

The Total Charge per item is determined by multiplying the quantity by the show rate. To guarantee equipment availability, this order should reach our offices at least 15 days prior to delivery. Payment is due IN ADVANCE of delivery, by company check or credit card. Operator Labor, if requested, is subject to prevailing hourly rates with a 5 hour minimum. CANCELLATION: A) Cancellation of equipment ordered must be received 10-business days prior to the requested delivery date to avoid a 75% charge; B) If services have already been provided at the time of cancellation, full charges will apply. Prices do not include drayage.