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The Tenth Annual - Healthcare Design Magazine

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Rates Effective July 1, 2012‐June 30th, 2013<br />

Electrical Order Form Mail or Fax to:<br />

Information & Online Ordering<br />

Commonwealth Electric Company Exposition Service Division<br />

www.commonwealthexpo.com 100 North 3rd St. Phoenix, AZ 85004<br />

PH: (602)253.5881 Fax: (602)253.5530<br />

Phoenix Convention Center<br />

Email Address: expo@commonwealthelectric.com<br />

Dates: November 1‐7, 2012<br />

Event #: 478500<br />

Event: <strong>Healthcare</strong> <strong>Design</strong><br />

For Discount Payment Price we must receive your order and payment prior to this<br />

DISCOUNT DEADLINE DATE OF:<br />

STANDARD ELECTRICAL DROPS<br />

Quantity Description Discount Regular Amount<br />

Standard Outlet 120V A.C. 60 Cycle<br />

500 Watts $99.75 $129.68<br />

1000 Watts $135.00 $175.50<br />

2000 Watts $176.00 $228.80<br />

Single Phase 208V A.C. 60 Cycle Requires MINIMUM (1) hr Labor<br />

10 Amp $229.95 $298.94<br />

20 Amp $271.95 $353.54<br />

30 Amp $338.10 $439.53<br />

50 Amp $460.95 $599.24<br />

60 Amp $522.90 $679.77<br />

100 Amp $868.35 $1,128.86<br />

Three Phase 208V A.C. 60 Cycle Requires MINIMUM (1) hr Labor<br />

10 Amp $260.40 $338.52<br />

20 Amp $373.80 $485.94<br />

30 Amp $426.30 $554.19<br />

50 Amp $622.65 $809.45<br />

60 Amp $723.45 $940.49<br />

100 Amp $1,331.40 $1,730.82<br />

Rental Items<br />

Extension Cord 15' $28.35<br />

Extension Cord 25' $30.45<br />

5‐way power strip $26.25<br />

3‐way adaptor $23.10<br />

Labor<br />

ST (M‐F 8am‐4:30pm)<br />

$92.40<br />

OT (M‐F 4:30pm‐12am & Sat 8am‐12 am) $138.60<br />

10.19.12<br />

Company Name: Booth #<br />

DT (M‐F 12Am‐8am & all Sundays/Holidays<br />

State of Arizona or Federal Tax<br />

Exempt form must be submitted<br />

with order to receive exemption.<br />

**By signing the order form, I have read and<br />

agree to all of Commonwealth Electric<br />

Company’s Conditions and Regulations.**<br />

If you require services not listed on this<br />

form please call for a quote.<br />

Lighting, Water and/or Air:<br />

Please call for Order Form<br />

24 Hour Services:<br />

Rates are DOUBLE the Outlet Rate<br />

__________Check if required.<br />

Overhead Power:<br />

Rates are Time and Material, please call for quote.<br />

208V and 480V Services:<br />

<strong>The</strong>re is a MINIMUM labor charge of (1) hr. for<br />

installation/removal of all 208V service. <strong>The</strong>re is a<br />

MINIMUM labor charge of (2) hrs. for<br />

installation/removal of all 480V service.<br />

ELECTRICAL LABOR:<br />

Outlets requested to be placed anywhere other than the back<br />

of the booth will require a layout and a MINIMUM of (1) hour<br />

labor. Please call for quotes on labor if your booth is an<br />

Island booth or needs overhead power.<br />

_____ Okay to Proceed (layout with scaled orientation attached)<br />

Order will be installed prior to exhibitor move‐in.<br />

_____ Exhibitor Supervision Requested‐Requires a MINIMUM of 1 Hr<br />

$184.80<br />

of Labor. Please indicate the following<br />

Total Order<br />

Date and Time Requested:<br />

9.3% Sales Tax / / am/pm<br />

Labor Amount<br />

Onsite Contact Name:<br />

Total Due<br />

Onsite Contact Cell #<br />

Company Name<br />

Phone<br />

Fax<br />

X<br />

Address City State Zip<br />

Email Address<br />

Onsite Contact:<br />

Signature<br />

Print Name<br />

Paid by: CK AX MC VS<br />

CC #<br />

Exp Date:<br />

Cardholder Signature<br />

Print Name

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