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EVENT INFORMATION
Event Name:*

Event Date:*

Exhibit Name:*

Location (Booth/Room Number):*

On-site Contact Name:*

On-site Contact Phone Number:*

COMPANY INFORMATION
Company Name:*

First Name:*

Last Name:*

Billing Address:*

Phone Number:*

City*

State:*

ZIP:*

Email Address:*

All communications including service information, questions and receipts, etc will be sent to this email address.
 
An advanced rate is available on orders received in full, at least 10 days before your scheduled move-in date. To be eligible for the discount, orders must be submitted with credit card payment and floor plans with drop locations for applicable services.
REQUIRED: Do you meet the requirements for the advanced rate?
YES NO 

NOTE: All service options and rates will display once YES or NO has been selected.
 
 Compressed air, water and natural gas services are available in the exhibit halls only.
Some services are limited to select areas of the exhibit halls. Call for locations and availability.
 
 
COMPRESSED AIR SERVICE
 
Qty: Compressed Air Total:
Compressed Air Connection
100 PSI, 3/8`` quick universal disconnect and c/o valve
Compressed Air Connection
100 PSI, 3/8`` quick universal disconnect and c/o valve
 
WATER SERVICES
 
Qty: Water Total:
Water Fill & Empty - up to 100 gallons
Water Fill & Empty - up to 100 gallons
Water Fill & Empty - 101 to 500 gallons
Water Fill & Empty - 101 to 500 gallons
For water fills over 500 gallons, enter the number of gallons required under Qty.
Water Fill & Empty - over 500 gallons
Water Fill & Empty - over 500 gallons
All water fill rates are for a one time fill and empty, for a single contailer (hot tub, aquarium, fountain, etc) and one time empty.
 
Cold Water Connection
Cold Water Connection
3/4``, standard hose bib with shut-off
What will the Cold Water Connection be used for?

 
Drain Line
Drain Line
PVC Size for Drain Line

Semi-rigid PVC. Slip-fit with hose clamp connection. Gravity flow, location must be in close proximity to a floor box.
Service not available in Exhibit Halls 1-4.
 
NATURAL GAS SERVICE
 
Qty: Natural Gas Totals:
Natural Gas Connection
Natural Gas Connection
1/2`` quick disconnect. Regulator not included. Equipment must have a 1/2`` NPT male fitting on an adapter to fit.
 
INSTALLATION REQUIREMENTS
Install / Fill Date & Time:

Remove / Empty Date & Time:

Any additional parts, such as specialty fittings or adapters (if available) will be billed at a rate determined by the Salt Palace Engineering department. A quote can be provided on request.
A floor plan showing drop location for wired Internet, telephone and cable television 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 $95 fee to relocate a line once it has been placed.
Floor Plan:
 
 
PAYMENT INFORMATION
 
  I agree to the Salt Palace 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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