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INTERNET ORDER FORM
Customer E-Mail
Important! Enter a valid e-mail address. Receipts will be sent to this address.
*E-Mail:
Customer Information
*Event:
*Date:
*Company Name:
Ordered By:
*Booth / Location:
*Address Line 1:
*City:
*State:
*ZIP Code:
*Phone:
Fax:
 INTERNET SERVICESQTYTOTAL
Shared High Speed Internet Services
Direct access to Internet. One 10/100BaseT (Cat5) line to booth with RJ45 connector. Please specify wireless or hardline. Hubs and cables not included. Exhibitors are responsible for set-up and configuration of personal equipment. Servers/Gateways are excluded - you must order Priority Internet Service.
256K Connection - Daily:
Enter Number of Devices:
Enter Number of Days:
256K Connection Total:
256K Connection - Event:
Enter Number of Devices:
256K Connection Total:
256K Connection w/ Router:
256K Connection - Wired, w/ 1 IP Address - Router Allowed
T-1 Connection:
Additional IP:
T-1 Additional IP Address
Custom Wireless Network
Wireless Internet access custom designed based on client requirements.
Custom Wireless:
starts at -
Additional Access Point:
AP w/ service for up to 50 guests in one location
Prioirty Internet Service
Up to 5 drops. One 10/100BaseT (Cat5) line to each location. Hubs and cables not included. Exhibitors are responsible for set-up and configuration of personal equipment.
Priority Package:
5Mbps Bandwidth w/ 30 IP Addresses
Additional Drops:
Additional Internet Drops
 INTERNET EQUIPMENT QTYTOTAL
Hub:
Patch Cable:
Patch Cable (up to 25`)
Labor:
In-booth Networking Labor, per hour (one hour minimum)
 SPECIAL SERVICESQTYTOTAL
Copper Patch:
Copper Dry Pair Patch
Fiber Patch:
100BaseT Fiber Patch
Labor:
Misc. Technical Labor, per hour (one hour minimum)
Description of Labor:
Floor Plan
Provide a diagram of booth indicating service location. If you do not have a diagram, click the Booth Template link below to download a template to use.
Floor Plan: 
Total
*I accept the STEC Terms & Conditions:
Subtotal:
UT State Tax (7.6%)
+Convenience Fee:
GRAND TOTAL:
Tax will be applied on Internet Equipment only
Payment Information
PAYMENT MUST BE RECEIVED BEFORE SERVICE IS PROVIDED. Payment can be made by Check, Visa, Master Card or American Express.
+A 3.5% convenience fee will be applied to credit card purchases.
*Card Holder Name:
*Card Number:
*CCV:
*Expiration Month:
*Expiration Year:
 
For additional information, contact Linda Cochrane:
9575 S. State Street, Sandy, UT 84070
PHONE: (385) 468-2260
EMAIL: linda.c@mountainamericaexpo.com
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