Vendor Packet - Ventura County Star
Vendor Packet - Ventura County Star
Vendor Packet - Ventura County Star
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ELECTRICAL REQUEST FORM<br />
Deadline: Friday, October 26, 2012<br />
Questions? Julie Lopez, 805-437-0446 or jlopez@vcstar.com<br />
Quantity Description Advance Price Floor Price Total<br />
_______ 5 amps / 500 watts 1 outlet / 110v $42.00 $57.00 _________<br />
_______ 10 amps / 1,000 watts 1 outlet / 110v $52.00 $67.00 _________<br />
_______ 15 amps / 1,500 watts 1 outlet / 110v $62.00 $77.00 _________<br />
_______ 20 amps / 2,000 watts 1 outlet / 110v $72.00 $87.00 _________<br />
_______ 30 amps / 3,000 watts 2 outlets / 110v $82.00 $97.00 _________<br />
Total Charges:<br />
_________<br />
For electrical needs in excess of those listed, please contact Julie Lopez for pricing<br />
<strong>Vendor</strong> must supply extension cords<br />
Exhibitor Name: ___________________________________________________Contact Name: ____________________________<br />
Address: ___________________________________________________________________________________________________<br />
City: _____________________________________________________________ State: ______________ Zip: _________________<br />
Telephone #: ________________________ E-mail Address: _________________________________________________________<br />
Payment Method (check one): Check Cash MC/Visa Amex DC Bill my VCS account<br />
Card #: ___________________________________________________________ Exp. Date: _______________________________<br />
Name on card (please print): __________________________________________________________________________________<br />
Signature: __________________________________________________________________________________________________<br />
Fax your request to 805-437-0465 or email it to jlopez@vcstar.com by Friday, October 26, 2012. Please make checks payable<br />
to <strong>Ventura</strong> <strong>County</strong> <strong>Star</strong> - Women Today and mail to <strong>Ventura</strong> <strong>County</strong> <strong>Star</strong> - Women Today, P.O. Box 6006, Camarillo, CA 93011.<br />
Please see back for restrictions.<br />
WT2012_Electrical Request Form 7/31/2012 Page 1 of 2
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