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AIR, WATER, NATURAL GAS SERVICES
Air, Water and Natural Gas services are available in exhibit halls only
EVENT INFORMATION
Event Name:*

Event Date:*

Exhibit Name:*

Booth / Room Number:*

On-site Contact Name:*

On-site Contact Phone Number:*

COMPANY INFORMATION
Company Name:*

Email Address:*

First Name:*

Last Name:*

Billing Address:*

Phone Number:*

City:*

State:*

ZIP:*

COMPRESSED AIR SERVICE
Qty: Compressed Air Total:
Compressed Air Connection
100 PSI, 3/8 inches, quick universal disconnect and c/o valve
WATER SERVICES
Qty: Water Total:
Water Fill & Empty* - up to 100 gallons
Water Fill & Empty* - up to 500 gallons
*One time fill for a single container (hot tub, aquarium, fountain, etc) and a one time empty.
Cold Water Connection
3/4 inches, standard hose bib with shut-off
What will the cold water connection be used for?

coffee machine, sink, etc
Drain Line
Semi-rigid PVC. Slip-fit with hose clamp connection. Gravity flow, location must be in close proximity to a floor box.

NATURAL GAS SERVICES
Qty: Natural Gas Total:
Natural Gas Connection
1/2 inch quick disconnect. Regulator not included. Equipment must have a 1/2 inch NPT male fitting on an adapter to fit.
INSTALLATION
Install / Fill Date & Time

Uninstall / Empty Date & Time

Any additional parts, such as specialty fittings or adapters (if available) will be billed at a rate determined by the MAEC Engineering department. A quote can be provided on request.
A floor plan showing drop location for service is required to be submitted with each order. If one is not received, our technicians will drop service in an area of the booth or room that they deem to be most convenient. There is a $75 fee to relocate a line once it has been placed.
Floor Plan:
 
PAYMENT INFORMATION
 
  I agree to the Mountain America Terms & Conditions:*

Subtotal:

+Convenience Fee:

GRAND TOTAL:

+Visa, MasterCard, American Express, Discover Card accepted.
A 3.5% convenience fee will be applied to credit card purchases.
Card Holder Name*

Card Brand*

Credit Card Number*

CCV*

Expiration Month*

Expiration Year*

 
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