A l a b a m a | A l a s k a | A r i z o n a | A r k a n s a s | C a l i f o r n i a | C o l o r a d o C o n n e c t i c u t | D e l a wa r e | D i s t r i c t o f C o l u m b i a | F l o r i d a | G e o r g i a | G u a m H a wa i i | I d a h o | I l l i n o i s | I n d i a n a | I o wa | K a n s a s | K e n t u c k y | L o u i s i a n a M a i n e | M a r y l a n d | M a s s a c h u s e t t s | M i c h i g a n | M i n n e s o t a | M i s s i s s i p p i M i s s o u r i | M o n t a n a | N e b r a s k a | N e va d a | N e w H a m p s h i r e | N e w J e r s e y Ne w Me xico | Ne w York | Northern M ariana Islands | North Car olina | North Dakota O h i o | O k l a h o m a | O r e g o n | P e n n s y l va n i a | P u e r t o R i c o | R h o d e I s l a n d S o u t h C a r o l i n a | S o u t h D a k o t a | T e n n e s s e e | T e x a s | U . S . V i r g i n I s l a n d s | U t a h V e r m o n t | V i r g i n i a | Wa s h i n g t o n | W e s t V i r g i n i a | W i s c o n s i n | W y o m i n g
Tools for success
in today’s
complex regulatory
environment
Collaborating and
Communicating:
2015 Annual Meeting
The FSMB
is proud to partner
with the thousands of men and women
who make up our nation’s state medical
board community as they strive to
protect the public
and promote the
highest standards
of medical care.
The FSMB Annual Meeting is a unique
opportunity to connect with this vibrant,
engaged audience.
Build a network
Deliver a message
Expand your
customer base
Contact: Funmi Okunbolade, Marketing AnalystFederation of State Medical Boards 400 Fuller Wiser Rd, Suite 300 Euless, TX 76039
Connecting for Success
For more than a century, the Federation of State Medical Boards (FSMB) has been proud to partner with the thousands of men and women who make up our nation’s state medical board community as they strive to protect the public and promote the highest standards of medical care.
Today, the FSMB’s Annual Meeting is the premiere opportunity for you to
connect with this vibrant and engaged audience. Attending the conference
will be the leadership of state medical boards, including board members and staff, medical directors, attorneys, investigators and licensing agents, as well as the leadership of government, academic and medical education organizations.
Whether your goal is to increase your brand awareness with this important demographic, promote your company capabilities or generate new leads, FSMB offers exhibitor and sponsorship packages to meet your strategic business objectives and budget.
We invite you to browse this sponsorship and exhibitor guide and choose the opportunities that best fit your marketing goals.
About the FSMB
The FSMB represents the 70 medical and osteopathic boards within the United States and its territories. It assists these boards as they go about their mandate of protecting
the public’s health, safety and welfare through proper licensing
and disciplining of physicians and, in some jurisdictions, other health care professionals.
2015 Annual Meeting in Fort Worth, Texas
The theme for this year’s Annual Meeting is Collaborating and Communicating:
Tools for success in today’s complex regulatory environment. A full slate of
prominent speakers will discuss the changing environment of physician licensing and medical regulation and offer insight to address critical issues. The FSMB Annual Meeting also includes the meeting of the House of Delegates, the official business meeting of FSMB. Members gather to discuss and decide FSMB’s future initiatives.
Serving as the backdrop for conference is the city of Fort Worth, Texas. Famous for being “Where the West Begins,” Fort Worth offers a unique mix of entertainment and attractions a short distance from The Omni Fort Worth Hotel, including the Fort Worth Stockyards, Sundance Square and the city’s renowned cultural district.
Sponsorship Opportunities
The FSMB offers multiple levels of sponsorship to share your brand and grow your customer base. If you have questions or would like to discuss custom options, please contact David Hooper, Senior Director of Marketing, at (817) 868-4070 or [email protected].
Annual Meeting Benefits Gold
$20,000 $15,000Silver $10,000Bronze
• Welcome audience at designated session X X
• One (1) exhibit booth X X X
• Full registrations to the Annual Meeting X (4) X (3) X (2)
• Complimentary seats for the Platter Lecture Luncheon X (4) X (3) X (2)
• Ad in conference program X (Full Page) X (Half Page) X (Half Page)
• Insert in conference program X
• Splash screen ad in mobile app X
• Banner ad in mobile app X X X
• Logo on tote bag X
• Logo and company description in conference program and mobile app X X X
• Logo on event signage X X X
• Logo on Annual Meeting website X X X
• Logo on FSMB website for one (1) year X X X
• Sponsor provided giveaway inserted into tote bag X X
• Sponsor provided postcard/brochure into tote bag X X
Additional Sponsorships
Bierring Dinner & Entertainment $15,000
This black-tie optional event was created in 1956 to recognize the contributions of Dr. Walter L. Bierring who worked with the organization from 1913 – 1961 and it continues today to honor his legacy. It is also an opportunity to celebrate the culmination of the Annual Meeting and the new FSMB leadership.
Sponsor Benefits: • One (1) exhibit booth
• Two (2) full conference registrations
• Sponsor table with seating for eight (8) guests • Logo on Bierring Dinner signage
• Half-page ad in Annual Meeting program • Banner ad in mobile app
• Logo and company description in conference program and mobile app • Logo on Annual Meeting web page
• Sponsor provided giveaway inserted into tote bag
Dr. Herbert M. Platter Lecture Luncheon $7,500
The Platter Lecture Luncheon was created in 1964 to honor Dr. Platter who dedicated his lifetime to assuring the quality of medical practice.
Sponsor Benefits:
• Sponsor recognition in Luncheon opening remarks • Two (2) full conference registrations
• Preferred seating for four (4) guests • Logo on Luncheon signage
• Half-page ad in conference program
• Logo and company description in conference program and mobile app • Logo on Annual Meeting web page
• Banner ad in mobile app
Breakfast Sponsor $2,500 (each)
New Attendees (Thursday)
Sunrise Sessions (Friday and Saturday)
Breakfast provides attendees with energy and nutrients that lead to increased concentration. Help start each morning right by sponsoring breakfast for session attendees.
Sponsor Benefits:
• Logo on conference signage
• Quarter-page ad in conference program
• Logo and company description in conference program and mobile app • Logo on Annual Meeting web page
Beverage Break $1,500 (each)
Keep attendees hydrated and energized with a choice of coffee, tea, sodas, juices and water.
Sponsor Benefits:
• Logo on conference signage
• Quarter-page ad in conference program
CUST
OMIZE Y
OUR
Exhibitor Guidelines
The FSMB Annual Meeting provides an important forum for representatives of state medical boards to share information and best practices. As an exhibitor, you play an important role in providing access to the resources, services and tools that allow medical boards to operate at the highest levels when regulating physicians.
The FSMB matches your commitment with one of our own: to foster a productive and profitable exhibitor experience for you.
General Exhibit Information
The Ballroom Foyer is the central gathering area for the meeting. All food and beverage breaks will be provided in the Ballroom Foyer directly outside the general session room, assuring high visibility for your product or display. Exhibits will be limited to tabletop displays. No booths or free-standing backdrops will be allowed.
Exhibitor Fee
$1,200 per exhibit space, includes: • 6’ skirted table and 2 chairs
• One (1) full conference registration, good for all sessions and social events. A value of up to $595. • Two (2) exhibit only registrations, good for activities in the exhibit area.
• Company name and description listed in the conference program and mobile app. • Daily cleaning and maintenance of the common exhibit areas.
Exhibit Hall
The Exhibit Hall will be located in the second floor of The Omni Fort Worth hotel. Exhibitor tables will be set up in the foyer of the Texas Ballroom. Each exhibitor will receive a six-foot table and two chairs in their exhibit space. Exhibitors will be assigned space on a first-come, first-serve basis. The FSMB reserves the right to make or change final space assignment should it be necessary and in the best interest of the annual meeting.
Exhibits are limited to tabletop displays only. No booths or freestanding backdrops will be allowed. Easels will be provided, if requested.
Please note: Poster presenters are responsible for providing all display materials. The FSMB will not supply any display materials (i.e. poster board, etc.) for displays. All poster displays must be able to sit comfortably atop a floor easel.
If you have questions about your display, please feel free to contact Funmi Okunbolade at [email protected] or (817) 868-5131 to confirm your display fits within the guidelines.
Exhibit Hours
Daily exhibit times are as follows (subject to change):
Set-Up
Wednesday, April 22, 2015 6:00 – 8:00 pm
Exhibit Hall Hours
Thursday, April 23, 2015 7:30 am – 5:00 pm Friday, April 24, 2015 7:30 am – 5:00 pm
Attendee Breaks
TBD
Exhibit Tear Down
Friday, April 24, 2015 5:00 pm
EXP
AND Y
OUR
Exhibitor Guidelines
continued
Electrical, A/V and Internet services for your exhibit should be ordered directly through
the Encore Event Technologies and are not included as part of your exhibit fee. Included with this packet are two forms you can use to set-up these services directly with the Encore Event Technologies.
Please return the Exhibitor Price Guide and Credit Card Authorization form to:
[email protected] 800-836-8361 ext. 1125 Attn: Paul Pettersen
You can also reach Mr. Pettersen directly at [email protected] or (817) 350-4079.
Shipping Packages to and from the Hotel
All boxes delivered to the Hotel will be assessed a handling fee (incoming and outgoing) based on size of the box. Shipping fees are the responsibility of each exhibitor.
Prices: • Boxes: $5.00
• Display cases/hard cases on wheels: $75.00 • Pallets: $125.00
All shipments should be received no sooner than 2 days prior to the conference.
Packages should be addressed as follows:
The Omni Fort Worth Hotel 1300 Houston St.
Fort Worth, Texas 76102
To the Attention of: (Leslie McGuire — Conference Planning Manager) And
(Name of the guest on site or exhibitor designated to receive the items) Reference: FSMB Annual Meeting
April 23-25, 2015
Box #__ of __ (Ex. Box #1 of 4)
Return shipping — labels with billing information must be affixed to all boxes.
Federal Express
901 Houston St.,
Fort Worth, TX 76102 (two blocks from hotel) (817) 348-8899
Mon – Fri — 7:30am – 9pm Sat — 8am – 6pm
Sun — Closed
How to Register for Exhibit Space
Return the Exhibitor/Sponsor Application and Contract, along with payment to FSMB by the deadline of March 20, 2015 to:
Federation of State Medical Boards
Attn: Funmi Okunbolade, Marketing Analyst 400 Fuller Wiser Rd, Suite 300
Hotel Information
The Omni Fort Worth Hotel
1300 Houston St., Fort Worth, TX 76102 Phone: (817) 535-6664
Hotel Room Reservations
A limited block of rooms will be held until March 30, 2015 at a conference room rate of $209. For hotel reservations, call (800) THE-OMNI or (817) 535-6664. You may also book online at FSMB Hotel Reservations. Please reference the
FSMB Annual Meeting to obtain the conference rate.
Travel Information
The Federation has selected Canyon Creek Travel as the official travel agency for the 2015 Annual Meeting. Reduced airfares have been negotiated exclusively for attendees of the Annual Meeting. For your transportation needs, call
Jerry Lyon at (972) 792-3659 or email [email protected].
DELIVER
A
MESSA
SPONSOR/EXHIBITOR APPLICATION AND CONTRACT
2015 FSMB Annual Meeting
●April 23-25, 2015
Company Name: ___________________________________________________________________________________________________________ Address Line 1: ____________________________________________________________________________________________________________ Address Line 2: _____________________________________________________________________________________________________________ City, State, Zip/Postal Code: ___________________________________________________________________________________________________ Name of Exhibit Contact: ___________________________________________________________________________________________________ Title: _____________________________________________________________________________________________________________________ Telephone: ______________________________________________ Contact Email: __________________________________________________
Exhibit/Sponsorship Level
We would like to sponsor the FSMB’s 2015 Annual Meeting at the following level:
Exhibit/Sponsorship Total $ _____________________________
Payment Information
□
Check enclosed Check Number: _____________________Make check payable to the Federation of State Medical Boards. Please note 2015 Annual Meeting Exhibitor or Sponsor on the memo line.
□
Credit Card - Credit card transactions must be made through our secured online site. Accepted credit cards include Visa and MasterCard. Make your secure payment at bit.ly/2015FSMBSponsor. Please Note: You must still submit a signed application and contract to complete the registration process.Complimentary Registrations
(Please see Sponsor Benefits to determine eligibility for Full Registration. Exhibitors receive two exhibit-only registrations.)Full Registration #1 Name: _______________________________________________________________ Title: _______________________________ Full Registration #2 Name: _______________________________________________________________ Title: _______________________________
Exhibitor Registration #1 Name: _______________________________________________________________ Title: ____________________________ Exhibitor Registration#2 Name: _______________________________________________________________ Title: _____________________________
Company Description
Complete this section as you would like to be listed in printed and online materials.Company Name: ___________________________________________________________________________________________________________ Phone: ______________________________________________ Email: _ _______________________________________________________________ Website: __________________________________________________________________________________________________________________ Twitter: __________________________________________________________________________________________________________________ Facebook: __________________________________________________________________________________________________________________ Company Description: ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________
Complimentary Guests for Platter Lecture Luncheon
(Please see Sponsor Benefits to determine eligibility)Attendee #1 Name: _______________________________________________________________ Title: _____________________________________ Attendee #2 Name: _______________________________________________________________ Title: _____________________________________ Attendee #3 Name: _______________________________________________________________ Title: _____________________________________ Attendee #4 Name: _______________________________________________________________ Title: _____________________________________
□
Gold Sponsor $20,000□
Silver Sponsor $15,000□
Bronze Sponsor $10,000□
Bierring Dinner Sponsor $15,000□
Platter Luncheon Sponsor $7,500□
Continental Breakfast Sponsor $2,500 _____ quantity□
Beverage Break Sponsor $1,500 _____ quantityContract Provisions Exhibits and exhibitors are subject to the following terms. The letters “FSMB” herein refer to the Federation of State Medical Boards acting through its officers, employees or agents in the management of the FSMB Annual Meeting.
Annual Meeting Objectives The FSMB Annual Meeting is produced by and is the property of the FSMB. It is an educational event for the FSMB member boards and affiliates. Exhibitor is expected to display their products and/or discuss their services with awareness of the professional and practical needs of FSMB members. The FSMB reserves the right to refuse space to exhibitor at its own discretion.
Representative Responsibilities Exhibitors must name at least one person to be the official onsite representative and responsible party. The official represen-tative will receive all relevant materials relating to the Annual Meeting. That represenrepresen-tative shall be authorized to enter into such agreements as may be necessary for fulfillment of obligations to the FSMB and to other contractors and subcontractors. At least one representative must be at the display during exhibit times.
Payments and Cancellations The Exhibitor fee of $1,200 is due no later than March 20, 2015. Exhibitors who cancel before March 20, 2015, will receive a full refund. Exhibitors who cancel on or after March 20, 2015, will receive no refund. No cancellations shall be acknowledged unless received by the FSMB in writing. The date upon which the notice of cancellation is received shall apply as the official date of cancellation. Exhibit fees are a commercial transaction between the FSMB and the exhibitor and in no way are construed as financial support for the continuing medical education activity. It is mutually agreed , in the occurrence that the event is canceled for any reason, then and thereupon this Agreement will be automatically terminated and FSMB will determine an equitable basis for the refund of a portion or all of the exhibit fees, after due consideration of expenditures and commitments already made.
Space Agreement This application for exhibit space, notice of assignment by the FSMB and full payment of rental charges, together constitute an agreement for a right to use the space. Exhibitors will be assigned space on a first-come, first-serve basis. The FSMB reserves the right to make or change final space assignment should it be necessary and in the best interest of the annual meeting.
Arrangements of Exhibits Exhibits will be limited to “tabletop” displays only. No “booths” or “freestanding backdrops” will be allowed. Exhibits must be arranged
so as not to obstruct the general view or hide the exhibits of others. The standard equipment provided to the exhibitor by the FSMB will consist of one six-foot table and two chairs.
Schedule/Move In and Move Out Exhibits may move in between 6:00 p.m. - 8:00 p.m. on Wednesday, April 22, 2015. The Exhibitor Hall officially closes Friday, April 24, 2015, at 5:00 p.m. Exhibitors may not dismantle or disturb their– exhibits until that time. All exhibits and supplies must be removed from the exhibit hall by 7:00 p.m. on Friday, April 24, 2015.
Care of Buildings Exhibitors or their agents shall not injure or deface the walls or floors of the buildings and/or equipment or furnishings in the space provided. The Exhibitor will be held liable for any such damage caused by the responsible representative or his agent.
Use of Exhibit Space No Exhibitor shall assign, sublet or share the whole or any part of the space allotted without the consent of the FSMB and approval of the terms thereof. No Exhibitor is permitted to show goods other than those manufactured or handled in their regular course of business. No firm or organization not assigned space will be permitted to solicit business in any manner within the exhibit area.
Sound Devices and Noise Level The use of devices for the mechanical reproduction of sound is prohibited. Any demonstrations or presentations must be conducted at a low volume so nearby exhibitors are not disturbed.
Entertainment The Exhibitor agrees not to sponsor group functions such as hospitality suites, tours, film showings, speeches or other activities during the meeting and exhibition hours that would in any way interfere with member attendance at regular FSMB education sessions or meetings or induce visitors away from the Annual Meeting. The Exhibitor must receive approval from the FSMB for any intended group functions.
Direct Selling In the event that Exhibitor engages in on-location transactions, Exhibitor will be responsible for complying with all federal, state and local laws regarding sales taxes and laws that may pertain to such sales.
General Restrictions All exhibit and/or advertising functions are to be restricted to the exhibit area and will in no way interfere with the educational sessions of the conference. Exhibitor can distribute only the food and drink samples that are manufactured or handled by them in the regular course of business. The FSMB reserves the right to restrict exhibits that, because of noise, methods of operation, or for any reasons are found by the FSMB to be objectionable. FSMB further reserves the right to prohibit or evict, without refund, any exhibit or person that in the opinion of the FSMB may detract from the general character of the Annual Meeting. No display material exposing an unfinished surface to neighboring exhibitors or an aisle will be permitted. Exhibitor is not permitted to set up displays in hotel rooms, hotel suites or lobbies.
Liability and Insurance This Agreement shall not constitute or be considered a partnership, employer-employee relationship, joint venture, or agency between the FSMB and Exhibitor. Exhibitor agrees to and does indemnify, hold harmless the FSMB, its officers, directors, employees, agents, affiliates, and subsidiaries (collectively “Indemnified parties”) from and against any and all liability, responsibility, loss, damage, cost, or expense (including by not limited to cost, interest, and attorney’s fees) which any Indemnified party may incur arising directly or indirectly from any act or omission by Exhibitor or any of its employees or agents. Exhibitor will employ reputable guards and will take reasonable precautions to safeguard exhibit. Exhibitor further agrees that the Indemnified Party shall not be responsible in any way for damage, loss, or destruction of any property of Exhibitor or injury to Exhibitor or its representatives, employees, or agents. Exhibitors are advised to insure themselves at their own expense against property loss or damage and against liability for personal injury.
Fire Regulations All material used in the exhibitor area must be made of flameproof materials and conform to all fire department regulations.
__________________________________ __________________________________ ____________________________ Authorized Representative (please print) Signature Date
Submit Application, Contract and Payment by March 20, 2015 to:
UNIQUE. CREATIVE. INNOVATIVE. www.encore-us.com 800-836-8361 x1125 [email protected]
Electrical Services
ITEM DAILY RATE QUANTITY DAYS TOTAL
120 VOLT SINGLE PHASE SERVICE
5 Amp 120v (includes extension cord and power strip) $75.00
20 Amp 120v (dedicated) $100.00
208 VOLT THREE PHASE SERVICE
30 Amp 208v N/A 60 Amp circuit N/A 100 Amp circuit N/A 200 Amp circuit N/A 400 Amp circuit N/A Power strips $15.00 25’ Extension cord $15.00 50’ Extension cord $20.00
IMPORTANT: Electrical Services and/or extensive set-ups may require labor.
Please call your Encore representative for details. SUBTOTAL:
Electrical Services Subtotal:__________________ (Before taxes, service charge and/or labor) ELECTRICAL TOTAL:__________________
Exhibit Rental Reservation GRAND TOTAL
Equipment TOTAL:__________________ Networking/Telecom TOTAL:__________________ Electrical TOTAL:__________________ (Before taxes, service charge and/or labor) GRAND TOTAL:__________________
UNIQUE. CREATIVE. INNOVATIVE. www.encore-us.com 800-836-8361 x1125 [email protected]
Labor Services Rates
HOURS RATE 8am to 6pm $75.00 6pm to 12am $112.50 12am to 8am $150.00 Holidays $150.00 Function Space
Function Space Room/Booth Room/Booth Room/Booth Room/Booth Room/Booth Start Date & Time:
End Date & Time:
Client/Exhibitor Information
Event Name: ______________________________________ Event Location: ________________________________________ Exhibitor: _________________________________________ Booth#: ______________________________________________ Contact Name: _____________________________________ Email Address: _________________________________________ Address: __________________________________________ Phone #: ______________________________________________ Fax #: ____________________________________________ City: _________________________________________________ State: _________ Zip: ________________ Delivery Date: ______________________________________________________
Please contact Encore Event Technologies for delivery. Exhibitor must be present to sign for order at time of delivery. You must notify our representative that you are at your booth and have electrical power in place.
Pick-up Date:____________________________________________________________
Exhibitor is responsible for equipment until it is picked up by an Encore representative. Pick up will be at close of show unless otherwise specified. No removal of equipment will take place during show hours.
Comments
- ADVANCED PAYMENT IS REQUIRED AND RENTAL CONTRACT MUST BE EXECUTED TO RESERVE EQUIPMENT. - TOTALS DO NOT INCLUDE TAXES OR SERVICE CHARGES.
- Equipment listed is a partial inventory. Additional equipment is available upon request. - Custom sizes and/or specifications are also available. Please call for a quote.
UNIQUE. CREATIVE. INNOVATIVE. www.encore-us.com 800-836-8361 x1125 [email protected] ALL ORDERS SUBJECT TO LIMITS OF LIABILITY AND RESPONSIBILITY AS SET FORTH BELOW
Equipment Terms and Conditions
By executing this order form, Lessee agrees as follows:
1. Cancellation: In the event Lessee cancels this order, Lessee will be charges a cancellation fee equal to 10% of one day’s rental of the subject equipment. Cancellation made within 48 hours of the delivery date will be charged a cancellation fee equal to one day’s rental plus handling charges.
2. Risk of Loss: Equipment rental is the responsibility of Lessee. Any equipment which is lost, damaged, or stolen while in Lessee’s care or posses-sion will result in Lessee being charged for replacement cost, labor, or parts for repair, as the case may be.
3. Insurance for the subject equipment is Lessee’s responsibility.
4. Union labor costs, if applicable, are not included in equipment rental price.
5. Payment tendered for the specified equipment with this reservation form is an estimate only and any changes in equipment requirements and any labor charges will affect this estimate. Lessee is responsible for all charges.
6. It is the responsibility of the exhibitor to advise an Encore Event Technologies representative of any problems with their order at show site. Ab-solutely no credits will be issued after show closing.
Telecommunications Terms and Conditions
1. It is understood that Encore Event Technologies does not own or control the telecommunications facilities used to access the Internet and that the Internet is a non-regulated public domain. Customer agrees that Encore shall have no responsibility and no liability whatsoever with respect to insuring access to the Internet. Customer further agrees to indemnify and hold harmless Encore from any and all claims, damages, losses and causes of action whatsoever which may arise directly or indirectly in connection with the Internet services provided.
2. The total order cost will be billed to the form of payment specified above.
3. Cancellation charges will be incurred at 100% for cancellations within 24 hours of your event. 4. You are responsible for bringing your own NIC (Network Interface Card) or Wireless Access Card.
5. Customer-provided wireless access points, routers, switches or other similar network infrastructure devices are prohibited to ensure uninterrupt-ed operation of existing wiruninterrupt-ed/wireless infrastructure. Please contact your sales manager for pricing on Encore providuninterrupt-ed available options. 6. All materials and equipment furnished by Encore for this service order shall remain the property of Encore and shall be removed only by Encore
at the close of the meeting.
7. All requests for services after your arrival are subject to the availability of the equipment and the services of our technicians. 8. Under no circumstances shall anyone attempt to gain unauthorized access to or tamper with any part of the network. 9. You agree to remain entirely liable for all activities conducted through the network connections.
10. The Network may only be used for lawful purposes and in accordance with these terms and conditions. Transition of any materials in violation of any local, state, federal, or international regulation(s) is prohibited. This includes but not limited to, copyrighted materials legally judged to be threatening or obscene, or material protected by trade secrets.
11. These terms and conditions supersede all previous representations, understandings, or agreements and shall prevail notwithstanding any vari-ance with terms and conditions of any order submitted. These terms and conditions may be modified by Encore at any time.
12. No service will be provided without a signed copy of this form. This form must be received no later than one (1) week prior to the meeting. 13. You or your IT professional will be responsible for appropriate computer configuration for the service provided. Encore personnel cannot be
responsible for making configuration changes to your personal computer.
14. If you are uncertain of your requirements or of any changes, you must notify an Encore representative.
Electrical Regulations
1. For your protection you should install a surge protector on your computer(s). All electrical installations and connections to all electrical service will be made by an Encore Event Technologies representative. Encore Event Technologies will not be responsible for any damage or lost equipment, component, computer hardware, or software and/or any damage or injury to any person caused by the installation, connection or plugging into any electrical outlet by a person other than an Encore Event Technologies representative.
2. All column and wall outlets are not a part of booth space. A separate outlet must be ordered at regular price for each piece of equip-ment to be connected.
3. All production companies are to provide pig tails and cables to designated power location. 4. All equipment connected by Omni Hotels must comply with NEC, Federal, State, & local codes. 5. All cords, plugs, and power strips must be UL listed..
6. All equipment shall be tagged and wired with complete information as to type of current, voltage, phase, cycle, horsepower, etc. MY SIGNATURE INDICATES THAT I HAVE RECEIVED THIS REQUEST FORM AND SERVES AS AGREEMENT OF MY ORDER AND ITS TERMS AND CONDITIONS AND WARRANTS THAT THE UNDERSIGNED HAS THE AUTHORITY TO EXECUTE THIS DOCUMENT AS AN EMPLOYEE AND/OR AGENT ON BEHALF OF CUSTOMER’S EMPLOYER AND/OR PRINCIPAL, IF ANY.
Authorized Signature: _____________________________________________ (Required)
