2013 DoubleTree by Hilton Portland

Exhibitor Order Form

2014 CIT Conference 10/30-11/1/14

To: Brian Maderos; Audio Visual Sales Director / Date:
DoubleTree by Hilton / Number of Pages:
1000 NE Multnomah
Portland, Or 97232
Phone: 503.331.4926
Fax: 503.249.3137
Email:

From:

Exhibitor Company:

Phone Number:

Fax Number:

On-site Contact:

On-site Contact Phone:

Booth or Table Number:

Email address:

Please email signed completed form to:

Brian Maderos ( )

or fax to 503.249.3137

2013 DOUBLETREE BY HILTON – PORTLAND

EQUIPMENT FORM

Please mark your selections and return with the completed Credit Card Authorization Form to the fax number or email address listed above.

Any equipment or technician canceled within 24 hours of a function’s start time will be billed at the quoted price.

All items listed are subject to a 22% Service Charge.

Internet Services / Qty / Daily Rate / # Days / Total
Hard Wired Internet Line* / $100.00 per day
Hard Wired Static IP Internet Line* / $200.00 per day
Computers & Display Equipment / Qty / DAILY RATE / # Days / Total
Laptop Computer / $200.00 per day
22” Flat Screen Computer Data Monitor* / $125.00 per day
46” LED Flat Screen TV w/rolling stand / $275.00 per day
46” Computer Data Display w/rolling stand* / $350.00 per day
Power / Qty / DAILY RATE / # Days / Total
Standard extension cord and power strip (120v)* / $25.00 per day
Power drop - multiple circuits / $165.00 per day
Power drop 220v / $200.00 per day
Projection Screens / Qty / DAILY RATE / # Days / Total
Screens -- 5 ft., 6 ft., 7 ft., 8 ft.* / $70.00 per day
Lighting / Qty / DAILY RATE / # Days / Total
Pin Spot light (mount on pipe and drape)* / $15.00 per day
Leko Spotlight w/speaker stand – Covers 5’ to 10’ radius* / $50.00 per day
LED wash – floor unit w/8 programmed colors/themes* / $40.00 per day
Rental Subtotals
PRE-PAYMENT IS REQUIRED ON ALL ORDERS / Service Charge on all rentals of 22%
* Additional Labor charges – please call for details
TOTAL AMOUNT DUE

DoubleTree by Hilton Portland

Credit Card Payment Authorization Form

Please complete all areas below. Incomplete requests may be rejected. This form must be received at least 5 business days prior to the Check-In, or by specified date in Event Contract, to ensure acceptance of the credit card to be charged.

HOTEL USE ONLY: Date: ______

Authorized Amount:Approval Code: Date:

CARDHOLDER - Please complete the following section and sign/date below.

Guest / Group Name:

Event Date:

Name of Person: Phone:

Cardholder Name as it Appears on Credit Card:

Cardholder Billing Address:

City: State: Zip:

Daytime /Business Telephone:Evening Telephone:

Credit Card Number: Expiration Date:

Credit Card Type: (Circle one)

Visa/MasterCardAmerican Express Discover JCB Diners Club

I agree to cover the following categories of charges: (Please circle)

All ChargesRoom & TaxFood & Beverage RetailRecreation

I agree to cover the above categories of charges up to a Maximum Amount of $ ______

By signing below, you authorize the hotel to charge your credit card immediately for the amount indicated above up to the “Maximum Amount” indicated above. You further acknowledge that if “all charges” has been selected, then all guest/group related charges (less Deposit) will be charged to the above card number at event conclusion.

Cardholder Signature:Date: