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CONVENTION SERVICES (DOC)

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					EXHIBIT ELECTRICAL SERVICE REQUEST
HYATT REGENCY SAN FRANCISCO, 5 EMBARCADERO CENTER SAN FRANCISCO, CA 94111 · 415.788.1234 / FAX 415.291.6613

CONVENTION SERVICES / CATERING MANAGER SHOW / GROUP NAME: CONTACT PERSON & PHONE NUMBER: ADDRESS, CITY AND ZIP CODE: COMPANY NAME: INSTALLATION (DATE): EVENT (DATE & TIME): REMOVAL (DATE):

DATE ORDERED

LOCATION / Booth Number: (If you have multiple booth numbers, please specify TOTAL power needs for both) IN ORDER TO AVOID ADDITIONAL ON SITE CHARGES PLEASE FILL IN THIS ORDER COMPLETELY DAILY CHARGES BEGIN AS SOON AS SERVICES ARE CONNECTED, AND CONCLUDE WHEN SERVICES ARE DISCONNECTED; PARTIAL DAYS DO NOT APPLY Standard Exhibitor Electrical Service Quantity Prepaid On-site # of Days 1 - 20 AMP, 120 Volt $75.00 daily $110.00 daily Extension cords $15.00 daily $15.00 daily Power strips $15.00 daily $15.00 daily Panel Services 30 Amp, Single phase 208v 60 Amp, Single phase, 208v 60 Amp, 3 phase 208v 100 Amp, 3 phase 208 (requires cam lock connections @ 100 amp rating w/ polarized ground and neutral) 200 Amp, 3 phase 208v (Bare wire connections w/ contractor provided protection from house disconnect) 400 Amp, 3 phase 208v (Bare wire connections w/ contractor provided protection from house disconnect) Installed by: Total Charges Incurred: Bill to Master Account #: Signature: Please return this form completed to the address or fax number listed above, attention Engineering Dept. A photocopy of the front and back of the Credit Card MUST accompany this form. cc: Engineering, Credit, Banquets Quantity Prepaid $155.00 daily $225.00 daily $255.00 daily On-site $220.00 daily $360.00 daily $360.00 daily # of Days

$350.00 daily

$490.00 daily

$650.00 daily

$950.00 daily

$1,200.00 daily Date: Credit Card & #:

$1,400.00 daily Time:

Exp. Date


				
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