Connectivity Request Form
Today's Date
Group Name
Location/ Room
Start Date End Date
Start Time End Time
On-Site Contact
Name Title
Client Signature
Signature Date
Hotel Contact Extension
Diagram Attached: Yes No (Circle one)
Credit Card Info Expiration Month Year
Total days
Quantity Service with description Cost Total
used
T1 Wired Internet Line
Flat Fee
Allows for one (1) wired high speed internet connection to one (1) PC.
Max 4 Days
$850.00 $ -
This is a DHCP served address to one (1) computer with one (1) IP address.
Shared T1 Wired Internet Line
Allows for multiple PCs through the use of a router or switch Flat Fee
Max 4 Days
$1,200.00 $ -
This is one (1) wired connection with DHCP served addresses.
Customer must provide their own router or switch.
Hospitality Server Bypass
Allows fo the bypassing of the hospitality server. Flat Fee
Max 4 Days
$1,000.00 $ -
A network link directly to the edge router will be provided.
A public IP address will also be provided.
Infrastructure Access
Flat Fee
Allows for access to networking closets and MPOE.
Max 4 Days
$2,500.00 $ -
Provides the ability to network rooms and file & print share.
Networking Flat Fee
Max 4 Days
$2,500.00 $ -
Includes wired router and internet access for up to three (3) computers.
WIRELESS CONNECTIVITY OPTIONS - ALL WIRELESS ORDERS HAVE A DAILY RATE FEE
Wireless Internet Access for up to 100 users per day $1,000.00 $ -
Wireless Internet Access for 101 - 250 users per day $1,500.00 $ -
Wireless Internet Access for 251+ users per day $2,000.00 $ -
Total $ -
Please call the Fairmont MIS department at (408) 998-3924 for any custom networking requirements.
NOTES:
The Fairmont San Jose will not assume liability for damage to client equipment due to improper installation by client.
Please fax this form to the attention of your Catering or Convention Services Manager at (408) 280-0394 OR to
the attention of the Fairmont MIS department at (408) 998-3949. Thank you.
7c2fab27-98bf-49c8-b9a4-29bc87f728ed.xlsx rev. 2010