Bead Show
ADVANCE ELECTRICAL ORDER
Company Name: Booth
#’s:
Representative: Phone
#:
Show
Dates:_____________________________________________________________________________________
ELECTRICAL OUTLET
110 VOLT SINGLE PHASE
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ADVANCE ORDER
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WITHIN 1 WEEK
OF SHOW
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QUANTITY |
TOTAL |
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500 Watt or 5 Amps
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$20.00 |
$25.00 |
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TOTAL ORDER |
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NO electrical service will be performed until payment in full has been
received.
Payments may be made by:
q Check made payable to South Florida Fair q VISA q Mastercard q American Express q Discover
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Card # Signature: Expiration Date:
V-Code: ______ Name as on Card: Billing Address on Card: City: State: ZIP: Phone Number: |
Using the
space below, please indicate where you would like
the outlets placed in your booth. Please
label the back and aisle side of the booth. |
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To obtain advance
pricing this form and payment must be received by the
no later than two weeks prior to event. Return to South Florida Expo Center, P.O. Box
210367, West Palm Beach, FL 33421 –
Attention