ASRA 16 Annual Pain Medicine Meetingfiles.map-dynamics.com/1499778899_asra 2017pm decorator...ASRA...

ASRA 16TH Annual Pain Medicine Meeting

SERVICE LEVY EXPOSITION SERVICES INC. CONTRACTOR 14900 Interurban Ave. S, Suite 271 CONTACT: Seattle, WA 98168 Tel: 253 437 0031 Fax: 253 437 0032 LOCATION: Disney Yacht and Beach Club Resort (Hotel Address) 1700 Epcot Resorts Blvd. Orlando, FL 32830 EXHIBITOR MOVE-IN: Wednesday, November 15, 2017 12:00 pm - 5:00 pm *Island set up* 3:00 pm – 5:00 pm *Exhibitor set up* Thursday, November 16, 2017 8:00 am – 4:00 pm *Exhibitor set up* EXHIBITION DATES: Thursday, November 16, 2017 5:00 pm – 6:30 pm *Exhibit Hall open* 5:15 pm – 6:30 pm *Reception* Friday, November 17, 2017 7:15 am – 8:15 am 9:45 am – 11:00 am 3:45 pm – 5:00 pm Saturday, November 18, 2017 7:15 am – 8:15 am 9:45 am – 11:00 am EXHIBITOR MOVE-OUT: Saturday, November 18, 2017 11:00 am – 4:00 pm BOOTH EQUIPMENT: each 10' X 10' booth space comes with the following:

8' high drapery backwall – blue/silver/white/silver/blue 3' high drapery sidewalls – blue 1 – 6’ x 2’ skirted table – blue 2 fabric chairs 1 wastebasket 1 – 7” x 44” booth identification sign (logos additional cost)

If you require additional furnishings or services please complete

and return the appropriate enclosed order form(s).

DISCOUNT PRICE In order to receive the discount rates listed on the enclosed order forms, DEADLINE: your PAID order is to be received by October 31, 2017.

ASRA 16TH Annual Pain Medicine Meeting

SHIPPING: Please see the Material Handling order form and invoice in this manual for further information and associated costs. Please note concerning outbound shipments at the close of the show, all carriers must be checked in by 3:00 PM on Saturday, November 18th. If your carrier is not checked in by this time, the shipment(s) will be re-routed via the official show carrier, Liberty Convention Freight. All ADVANCE air and ground shipments should arrive at the advance warehouse between October 11, 2017 – November 8, 2017 and should be consigned as follows: ASRA 16th Annual Pain Medicine Meeting Company Name & Booth # Levy Exposition Services, Inc. c/o Liberty CFS NV Inc. 2502 Lake Orange Drive Orlando, FL 32837

Due to construction, please note that there is limited Material Handling Services at the Disney Yacht Club. We strongly advise that you ship all freight to the Advance Warehouse.

All DIRECT air and ground shipments should not arrive prior to 8:00 am on Wednesday, November 15th and should be consigned as follows: (Delivery Address) ASRA 16th Annual Pain Medicine Meeting Company Name & Booth # Disney Yacht and Beach Club Resort c/o Levy Exposition Services, Inc. 1700 Epcot Resorts Blvd. Orlando, FL 32830

XPO/ us credit-card.cdr

PAYMENT & CREDIT CARD CHARGE AUTHORIZATION FORM

COMPANY BOOTH NUMBER

ADDRESS street city state/province zip/postal code country

PHONE FAX PO # E-MAIL

AUTHORIZED CONTACT SIGNATURE AUTHORIZED CONTACT - DATEPLEASE PRINT

x

CREDIT CARD AUTHORIZATIONVISA MASTERCARD EXPIRY

DATE

EXPOSITION SERVICES INC.

ACCOUNTNUMBER

AMERICAN EXPRESS

CARDHOLDER’S BILLING ADDRESS city state/province zip/postal code country

CARDHOLDER’S SIGNATURE CARDHOLDER’S NAME - PLEASE PRINT

x

CORPORATE

PERSONAL

Please complete the information requested and return payment in full with this form and your orders. You maychoose to pay by credit card and/or bank check, however, we require your credit card authorization to be on filewith LES. For your convenience, we will use this authorization to charge your credit card for any additional amountsincurred as a result of show site orders placed by your representative for this event.

CALCULATION OF ORDER FORMS

Carpet, Drape, & Complements Rental Order Form ...............................................

Custom Carpet Order Form......................................................................................

Exhibit Booth Cleaning Order Form..........................................................................

Table and Chair Rental Order Form ........................................................................

Specialty Accessories Rental Order Form...............................................................

Rental Exhibits Order Form .....................................................................................

Table Top Exhibit & Cabinets Order Form.................................................................

Graphics & Sign Order Form ..................................................................................

Plant & Flower Rental Order Form ..........................................................................

Labor Order Form ....................................................................................................

Material Handling Order Form .................................................................................

FULL PAYMENT IN US FUNDS

To simplify payment, send one check payable to Levy Exposition Services Inc. for the entire amount or note the amountto be charged to your credit card.

Charge my credit card in the amount of $

Check no. Dated in the amount of $

$

$

$

$

$

$

$

$

$

$

$

$

TOTAL FROM EACH ORDER FORM

All orders are regulatedby LES Payment Terms& Conditions as well asMaterial Handling Terms

& Conditions.

Fax: 253 437 003214900 Interurban Avenue South, Suite 271Seattle, WAUSA 98168Telephone: 253 437 0031E-mail: [email protected]


$

ASRA 16 Annual Pain Medicine Meetingth

November 16 - 18, 2017Disney Yacht and Beach Club Resort

Orlando, FL

Call our experienced professionals for an innovative and customized approach.

XXPO/carpet-drape9X10.cdr

CARPET, DRAPE & COMPLEMENTS RENTAL ORDER FORM & INVOICE

STANDARD RATE

EXHIBITOR INFORMATION

SPECIAL INSTRUCTIONS

COST SUMMARY

COMPLEMENTS (Also see Specialty Accessories Form)COMPLEMENTS (Also see Specialty Accessories Form)

DRAPE (Includes installation and removal)DRAPE (Includes installation and removal)

COLORED CARPET SELECTIONS CARPET OPTIONS

A 25% CANCELLATION FEEwill be applied to all orders not receivedand paid in full by We reserve the rightOctober 31, 201 .7to adjust orders calculated incorrectly.

COMPANY

RATE ADJUSTMENT (OFFICE USE ONLY)

CONTACT

25% CANCELLATION FEE (OFFICE USE ONLY)

Size - 10 ft. X 10 ft.

Chrome coat tree

__________ lin. ft. of 8’ high drape

Waste basket

__________ lin. ft. of 3’ high drape

Chrome sign holder 22” X 28”

228.00

118.80

$11.06/ft

30.80

$7.43/ft

117.50

269.40

154.40

$14.38/ft

40.00

$9.66/ft

152.70

10 ft. X 20 ft.

Aluminum easel

455.00

44.00

4.95

1.75

1.25

591.50

57.20

6.44

2.28

1.63

SUBTOTAL

Custom cut size.Calculate sq. ft. x price per sq. ft.

Size _________ ft. x _________ ft.

= ______________________ sq. ft.

Size _________ ft. x _________ ft.

= ______________________ sq. ft.

Size _________ ft. x _________ ft.

= ______________________ sq. ft.

Carpet foam padding per sq. ft.

Poly covering per sq. ft.

TOTAL US DOLLARSBOOTH#

Description DescriptionDiscountRate

DiscountRate

StandardRate

StandardRateTotal Total

Quantity Description DiscountRate

StandardRate Total

Red PurpleBlue White Black

Green

Burgundy

Chrome stanchions

Velour stanchion ropes - red

RedBlue Purple Burgundy

will be applied to all ordersreceived and then canceled. If full service has been provided then100% of original fee will be applied.

32.00

32.00

41.80

41.80


10 ft. X 30 ft. 682.40 887.10

10 ft. X 40 ft. 910.25 1183.30

Black Grey



6.5% SALES TAX

PLEASE REFER TO THE PAYMENT & CREDIT CARD CHARGE AUTHORIZATION FORM**ORDERS WILL NOT BE PROCESSED WITHOUT PAYMENT**

Teal

Grey Gold TealLight Beige



Orlando, FL

XXPO/carpet-drape-custom100.cdr

CUSTOM CARPET ORDER FORM


Custom Carpet can also be ordered on the regular Carpet Order Form.

Deluxe Carpet in a Variety of Decorator Colors to Enhance Your Exhibit

A Black F French Beige

B Blue Mist G Grey Pearl

C Charcoal H Jade

D Colony Blue I Peony

E Emerald J Red

(CHECK BOX OF COLOR DESIRED)

SAMPLES AVAILABLE UPON REQUEST

Rental includes installation and poly covering for protection and removal.Orders must be received by to guarantee availability.October 31, 2017

Booth Size _____ft. x _____ft. = _______sq. Ft. at $5.95 per sq. ft. $7.75 per sq. ft. =$______

Carpet Pad _____ft. x _____ft. = _______sq. Ft. at $1.75 per sq. ft. $2.28 per sq. ft. =$______

NOTE: Include a floor plan if additional carpet is required to cover steps, skids and display fixtures. A quotation will be forwarded to you before we proceed

DISCOUNTPRICE

STANDARDPRICE

(late order)

STANDARD RATE A 25% CANCELLATION FEE will be applied to all ordersreceived then canceled. If full service has been provided then100% of original fee will be applied.

will be applied to all orders not receivedand paid in full by We reserve the rightOctober 31, 201 .7to adjust orders calculated incorrectly.


COST SUMMARY


CANCELLATION FEE (OFFICE USE ONLY)

SUBTOTAL

6.5% SALES TAX

TOTAL US DOLLARS

EXHIBITOR INFORMATIONCOMPANY

CONTACT BOOTH#






Orlando, FL

XXPO/clean.cdr

EXHIBIT BOOTH CLEANING ORDER FORM & INVOICE

STANDARD RATE


A 25% CANCELLATION FEE

COMPANY

CONTACT

will be applied to all ordersreceived then canceled. If full service has been provided then100% of original fee will be applied.

BOOTH#

SERVICES

DISCOUNT RATEDISCOUNT RATE

STANDARD RATE & ON-SITE ORDERS

ADDITIONAL INFORMATIONADDITIONAL INFORMATION

TOTAL SQUARE FEET OF BOOTH SPACE

TOTAL SQUARE FEET OF BOOTH SPACE

General vacuuming of the show floor aisles is provided, however,cleaning of your exhibit area is not included in your exhibit spacerental.

All carpets ordered from us are installed clean for your use.However, you may order cleaning services for debris createdduring set-up and show hours.

If you have any questions or need assistance with any itemsnot listed, please contact our exhibits department.

A surcharge may be applied for any damage and or staining ofexhibit space.

DAYS REQUIRED

DAYS REQUIRED

RATE

RATE

$0. =60

TOTAL

TOTAL

X

X

X

X

EXHIBIT VACUUMING

OUR SERVICES INCLUDE THE FOLLOWING:

EMPTYING OF WASTEBASKETS GENERAL HOUSEKEEPING

After First Day

After First Day

After Third Day

After Third Day

Prior To Show Opening

Prior To Show Opening

After Second Day

After Second Day

Total Number of Days100 Square Feet Minimum Order

Total Number of Days100 Square Feet Minimum Order

will be applied to all orders not receivedand paid in full by . We reserve the rightOctober 31, 2017to adjust orders calculated incorrectly.

COST SUMMARY



SUBTOTAL

TOTAL US DOLLARS


Please indicate on the lines below any special cleaning requests orinstructions you may have.





$0. =78



Orlando, FL

XXPO/table-chair.cdr

STANDARD RATE

TABLES

A 25% CANCELLATION FEEwill be applied to all orders not receivedand paid in full by . We reserve the rightOctober 31, 2017to adjust orders calculated incorrectly.

TABLES30” HEIGHT

TABLES40” COUNTER HEIGHT

TotalDescription DiscountRate

StandardRateQty.

6’ x 2’ Skirted

6’ x 2’ Skirted

8’ x 2’ Skirted

8’ x 2’ Skirted

4’ x 2’ Skirted

4’ x 2’ Skirted

Fourth side of table skirted

Fourth side of table skirted

147.40

180.40

61.60

70.40

79.20

8 .008

177.10

210.10

207.90

240.90

191.60

234.30

80.10

91.50

102.60

114.40

230.20

273.10

270.30

313.20

Unskirted table

Unskirted table

4’

4’

6’

6’

8’

8’

TABLE AND CHAIR RENTAL ORDER FORM & INVOICE

CHAIRS

128.00

154.00

166.40

200.20

FABRIC SLED BASECHAIR - GREY

FABRIC SLED BASEARMCHAIR - GREY


StandardRateQty.

Red GreyBlue Teal White Black

Purple Green Burgundy


COST SUMMARY



SUBTOTAL

6.5% SALES TAX

TOTAL US DOLLARS



CONTACT BOOTH#

Gold

WHITE PEDESTALTABLE - 30” DIAMETER

27” Table height

17” Coffee table height

40” Counter height 158.40

140.80

112.20

205.70

183.00

145.90




COUNTER STOOLWITH BACK - GREY 162.00 210.60

TABLE RISERSDRAPED IN WHITE VINYL

6’L x 7”H

4’L x 7” H

8’L x 7”H 122.10

100.10

72.60

158.70

94.40

130.10

Peach


Purple Green Burgundy Gold Peach



Orlando, FL

22006 XPO/spec-acces.cdr

SPECIALTY ACCESSORIES RENTAL ORDER FORM & INVOICE

STANDARD RATE

EXHIBITOR INFORMATION COST SUMMARY

ACCESSORIESDISPLAY UNITS

A 25% CANCELLATION FEEwill be applied to all orders not receivedand paid in full by . We reserve the rightOctober 31, 2017to adjust orders calculated incorrectly.

COMPANY RATE ADJUSTMENT (OFFICE USE ONLY)

CONTACT25% CANCELLATION FEE (OFFICE USE ONLY)

159.04

1791.00

101.90

47.04

103.00

121.00

44.80

121.00

118.70

206.75

2328.50

132.50

61.15

134.00

157.25

58.20

157.25

152.15

TABLE TOP PLEXIDRAW BOX12” x 12” x 12” tall

FABRICPOSTER BOARD4’ x 8’ grey fabriccovered both sides

POP-UP BOOTH9’-6” x 7’-5” tallVelcro compatibleSet of four lights

BLACK UPRIGHTLITERATURE RACK6 pockets for8.5” x 11” material

PLEXIGLASSBROCHURE HOLDER9” x 11”

CHROME BAGHOLDER ORCLOTHING STAND

CHROME COAT TREE

CHROMESIGN HOLDER22” x 28”

SUBTOTAL

TOTAL US DOLLARS

BOOTH#

Horizontal (shown)Vertical

Table top Wall mount


6.5% SALES TAX




LEVYALUMINUM EASELFits sign sizes:22” x 28”24” x 36”28” x 44”


Blue

Black

Grey



Orlando, FL

Rental Exhibits 2008Rental Exhibits 2008

RENTAL EXHIBITS ORDER FORM & INVOICE

STANDARD RATE



COMPANY

CONTACT


BOOTH#

1 M Angeled Shelves

1 M Shelves

Spot Lights (For use with rental unit)

58.10 75.60

58.10 75.60

66.50 86.80

ACCESSORY OPTIONS


StandardRateQty.

will be applied to all orders not receivedand paid in full by . We reserve the rightOctober 31, 2017to adjust orders calculated incorrectly.


27.30 35.00

Nylon Loop Fabric Panel166.60

(per panel)217.00

(per panel)

HARDWARE PANELS

PLAN “A”

PLAN “B”

PLAN “C”

PLAN “D”

10’ Exhibit

20’ Exhibit

20’ N-Line Exhibit

20’ Island Exhibit

$2,954.00

$5 883.00,

$4,310.00

$8 680.00,

$3 840.00,

$7 316.40,

$5,603.00

$11 284.00,

TotalQuantityDiscount

Rate

Standard

Rate

COLOR CHOICES (please complete)COLOR CHOICES (please complete)

CARPET COLOR SELECTIONS

HEADER TO READ (one line, block characters, black lettering)

HeaderOne

Red Blue BurgundyGrey Teal Black

HARDWALL PANELGrey

Literature Pockets 8 ½ “ X 11”





RENTAL INCLUDES: (Electricity NOT included)Hardwall Panels (choose color below)Standard Expo Carpeting (choose color below)Standard Counter - 20” X 40” X 41” highHeader - One line black block letters (logos, special lettering & color available at additional cost - call for quote)Labor to install and dismantle

White

Purple

COST SUMMARY



SUBTOTAL

6.5% SALES TAX

TOTAL US DOLLARS



Orlando, FL

TTabletop & Cabinets

TABLE TOP EXHIBIT & CABINETS ORDER FORM & INVOICE

A 25% CANCELLATION FEE will be applied to all ordersreceived and then cancelled. If full service has been provided then100% of original fee will be applied.



CONTACT BOOTH#

Tabletop DisplayIncludes 8’ draped table,please check color choiceIncludes 8’ draped table,please check color choice

STANDARD RATE will be applied to all orders not receivedand paid in full by . We reserve the rightOctober 31, 2017to adjust orders calculated incorrectly.

TotalQuantityDiscount

Rate

Standard

Rate


Peach Green GoldBurgundy Purple

Cabinet “A”20” x 40” x 41” HighCabinet “A”20” x 40” x 41” High

Cabinet “B”20” x 80” x 41” HighCabinet “B”20” x 80” x 41” High

Cabinet “C”20” x 61” x 41” HighCabinet “C”20” x 61” x 41” High

Cabinet “D”20” x 61” x 41” Highwith locking doors

Cabinet “D”20” x 61” x 41” Highwith locking doors

“A”

“B”

“C”

“D”

$685.00 $890.50

$469.00 $610.00

$675.00 $878.00

$600.00 $780.00

$ .00655 $851.50



COST SUMMARY



SUBTOTAL

6.5% SALES TAX

TOTAL US DOLLARS



Orlando, FL

XXPO/sign.cdr

GRAPHICS AND SIGN ORDER FORM & INVOICE

STANDARD RATE


STANDARD SIGN SIZES INDICATE YOUR SIGN COPY HERE

OPTIONAL SERVICES

ADDITIONAL SERVICES & TERMS


COMPANY

CONTACT

7” x 44”

Easel back on sign (Up to 22” x 28”)

46.00

6.04

39.00

4.53

50.00

5.88

60.00

7.79

11” x 14”

Logo sign

14” x 22”

Banner

22” x 28”

59.00

Quoted on Request

79.00

Quoted on Request

99.00

141.00

76.00

103.00

129.00

184.0028” x 44”

will be applied to all ordersreceived then cancelled.

BOOTH#

7” x 11”

Over 10 words (Add per word)

Prices listed are for one-color copy (up to 10 words) on a white background.

Black lettering will be provided unless otherwise specified.

CHOOSE YOUR LAYOUT

Vertical Horizontal

Levy Exposition Services Inc.to design layout

If you would like us to provide more information and pricing on banners,logos, silk screening, special graphics or any other items please contactour Exhibits department for a complimentary consultation.

Orders required within 72 hours before show opening may be subjectto a rush delivery charge. Please allow a minimum of 24 hours for anyon-site sign orders.

Quantity

Quantity

Description

Description

Discount

Rate

Discount

Rate

Standard

Rate

Standard

Rate

Total

Total

LETTER COLOR SELECTIONS

Red Teal PurpleBlue Green Black


COST SUMMARY



SUBTOTAL

TOTAL US DOLLARS

6.5% SALES TAX




DIGITAL GRAPHICS (6 SQ FT MINIMUM)

- Digital files must be provided to LES specifications.- Graphics should be sent in vector format as .eps files.Also acceptable: Adobe Illustrator (.ai) & Corel Draw (.cdr) files

- Photographic & Pixel based complex graphics must be MINIMUM100 dpi at actual output size.Acceptable formats include: .tif, .bmp, &Adobe Photoshop & Corel Photo Paint files

- All text be outlined / converted to curves, or fonts includedMUSTwith image files.

- Art work is to be received as file ready.- Editing & Design time is charged at a rate of $75.00 per hour(1 hour minimum).

- Digital files must be received at least three (3) weeks before showto receive discount price.

$17.25 $25.90Digital Prints per sq.ft.(Mounted on Foamcore w/ Matte Laminate)

Quantity DescriptionDiscount

Rate

Standard

RateTotal




Orlando, FL

22006 XPO/flower.cdr

PLANT & FLOWER RENTAL ORDER FORM & INVOICE

STANDARD RATE


COLORFUL FRESH CUT FLOWERS

LIVE PLANTS

LIVE TROPICAL PLANTS


COMPANY

CONTACT

Boston fern

4’ - 5’ tall floor plant

The above items are priced on a rental basis only. Price includes container, delivery, installation and removal at the end of show.Any items missing from the booth upon dismantling are the responsibility of the exhibitor and an additional charge will be applied.

Please indicate color preference here, if any:

Small floral arrangement

Large floral arrangement

63.00

97.00

54.00

84.00

146.00

119.00

81.90

126.10

70.20

109.20

189.80

154.70

Hanging green plant

6’ tall floor plant

68.00

124.00

88.40

161.20


BOOTH#

Potted flowers

3’ - 4’ tall floor plant

Quantity

Quantity

Quantity

Description

Description

Description

Discount Rate

Discount Rate

Discount Rate

Standard Rate

Standard Rate

Standard Rate

Total

Total

Total



COST SUMMARY



SUBTOTAL

TOTAL US DOLLARS

6.5% SALES TAX







Orlando, FL

XXPO/labor.cdr

LABOR ORDER FORM & INVOICE

TERMS & CONDITIONS


INBOUND FREIGHT INFORMATION

CANCELLATION FEEGratuities in any form, including cash,gifts or labor hours for work not actually performed are prohibited.We reserve the right to adjust orders calculated incorrectly.

COMPANY

CONTACT BOOTH#

SUPERVISION SERVICES (Please indicate desired service)SUPERVISION SERVICES (Please indicate desired service)

LABOR RATES

ESTIMATED INSTALLATION REQUIREMENTS

ESTIMATED DISMANTLE REQUIREMENTS

REGULAR TIME

REGULAR TIME

REGULAR TIME

OVER TIME

OVER TIME

OVER TIME

8:00 AM - 4:30 PM Monday to Friday

_____ Laborers

_____ Laborers

_____ Laborers

_____ Laborers

Carrier

Number of Pieces

Pro Number

Loose Display

Quantity of Ladders Required (Optional)

Date Shipped

Weight

Arrival Date (Target)

Crated Display

$128.00 per Hour

_____Hours

_____Hours

$1 .00 per Hour28

$1 .00 per Hour28

$__________ Total

$__________ Total

Date Required

Date Required

A minimum charge for labor is one (1) hour perlaborer. Labor thereafter is charged in one-half(½) hour increments.

A minimum charge for labor is one (1) hour perlaborer. Labor thereafter is charged in one-half(½) hour increments.

Start Time

Start Time

_____Hours

_____Hours

$ .00 per Hour239

$ .00 per Hour239

$__________ Total

$__________ Total

4:30 PM - 8:00 AM Monday to Friday,All day Saturday, Sunday, and holidays.

$239.00 per Hour

LEVY EXPOSITION SERVICES INC. SUPERVISEDMOVE IN MOVE OUT

EXHIBITOR SUPERVISEDMOVE IN MOVE OUT

LEVY EXPOSITION SERVICES INC. WILL SUPERVISElabor to unpack and install display before exhibitor arrival at show siteand/or dismantle and pack display after show closing.

A will be added to the35% ($50.00 minimum) Surchargelabor rates below for this professional supervision.

Starting time can be guaranteed only when labor is requested for thestart of the working day at 8 AM. For all other starting times, check in atthe one-half (½) hour before time requested.Exhibitor Service Desk

EXHIBITOR WILL SUPERVISEthe laborers provided by Levy Exposition Services Inc. for theinstallation and/or dismantle of the exhibit.

Supervisor’s name _________________________________________

A one (1) hour “per person, perhour” charge will be applied for all canceled labor orders.

COST SUMMARY



SUBTOTAL

SUPERVISION 35% ($50.00 min.)

TOTAL US DOLLARS







Orlando, FL

1OutboundShippingInstructionsPlease completethis section ifLevy willbe supervisingbooth labor.

Exhibitor Outbound Shipping Instructions: At close of show, exhibitor freight will be shipped to the following address:If your freight is being forwarded to another show, be sure to include the name of show and your booth number.

Company/Show:

Address:

City/State/Zip:

Attention:

Booth #:

Select Shipping Method:

Ship via carrier of exhibitor’s choice.

Ship via official show freight carrier .

Name of Carrier:

Shipper (print name):

Attention:

Selectcarrier

Ground

Air Select Service Preferred

Please note:If an exhibitor is using a carrier of his/her own choice (or not using the official show freight carrier), the exhibitor isresponsible for arranging for carrier to pick up at close of show.Levy cannot guarantee pick up time for exhibitor appointed carriers. All shipments are moved out of the exhibithall at Levy’s discretion.

Selectshippingmethod

2 BillingInformationPleaseindicate billinginformation forcarrier charges ifdifferent thanabove.

Shipper (signature):

Freight Charges Billed To (Company/Show):

Address:

City/State/Zip:

Telephone:

Bill Shipping Charges to (if different from above):

Full payment must accompany order. PLEASE, NO TELEPHONE ORDERS.Credit Card Authorization MUST be on file with Levy Exposition Services Inc. before any goods or services will be rendered regardless of your preferred method of payment.By utilizing this form, exhibitors acknowledge that they have read and agree to comply with the terms of the Limits of Liability statements contained herein.

REV. 10/01

Exhibitor Name: Tel. #:

Billing Address: Fax #:

City/State/Zip: Auth. by:

Booth Number

Booth Labor (I&D)Part 2 - Outbound ShippingInstructions

Order Deadline:October 31, 2017ASRA 16th Annual Pain Medicine Meeting

November 16 - 18, 2017 Disney Yacht and Beach Club Resort

hwwwwttp://www.championexpo.com

Fax: 253 437 0032 Tel: 253 437 003114900 Interurban Avenue South, Ste. 271Seattle, WAUSA 98168

PAYMENT & LABOR

TE

RM

S &

CO

ND

IT

IO

NS

The terms and conditions set forth below become part of the contractual agreement between Levy Exposition Services Inc. and you, theEXHIBITOR. Acceptance of said terms and conditions will be construed when any of the following conditions are met:~ WHEN THE METHOD OF PAYMENT FORM IS SIGNED; OR~ WHEN AN ORDER FOR LABOR, SERVICES, AND/OR RENTAL EQUIPMENT IS PLACED BY AN EXHIBITOR WITH LEVY

EXPOSITION SERVICES INC.; OR~ WHEN WORK IS PERFORMED ON BEHALF OF EXHIBITOR BY LABOR SECURED THROUGH LEVY EXPOSITION SERVICES INC.

DEFINITIONS“Levy Exposition Services Inc.” (”LES”), and any sub-contractors affiliated within the show. The term EXHIBITOR shall be construedwithin the meaning of this contract as the EXHIBITOR and/or its employees, agents, representatives, and/or any Exhibitor AppointedContractor (E.A.C.).

PAYMENT TERMSFull payment, including any applicable tax, is due in advance or at show site. All payments must be in U.S. Funds and all checks must bedrawn on a U.S. Bank. Orders received without advance payment or after the deadline date will incur additional [After Deadline] charges asindicated on each order form. All materials and equipment are on a rental basis for the duration of the show or event and remain theproperty of LES except where specifically identified as a sale. All LES rentals include delivery, installation and removal from EXHIBITOR’sbooth. In case of cancellation, a one-hour “per person, per hour” charge will be applied to all labor orders that are not canceled in writing atleast 24 hours prior to the scheduled start time. If services have already been provided at the time of cancellation, 100% of original fee willbe applied. It is EXHIBITOR’S responsibility to advise LES Exhibitor Services personnel of any problem with any order, and to checkinvoices for accuracy prior to the close of the exhibit. If EXHIBITOR is exempt from payment of sales tax, LES requires an exemptioncertificate for the State in which the services are to be used. Resale certificates are not valid unless EXHIBITOR is rebilling these chargesto its customers. For International EXHIBITORS, LES requires 100% prepayment of advance orders, and any orders or services places atshow site must be paid at the show. For all others, should there be any pre-approved unpaid balance after the close of the show, terms willbe net, due and payable in the UNITED STATES OF AMERICA, upon receipt of invoice. Effective 30 days after invoice date, any unpaidbalance will bear a FINANCE CHARGE at the lesser of the maximum rate allowed by applicable law, or 1.5% per month, which is anANNUAL PERCENTAGE RATE of 18%, and future orders will be on a pre-paid basis only. If any finance charge here under exceeds themaximum rate allowed by applicable law, the finance charge shall automatically be reduced to the maximum rate allowed, and any excessfinance charge received by LES shall either be applied to reduce the principal unpaid balance or refunded to the payer. These paymentterms and conditions shall be governed by and construed in accordance with the LAWS OF THE STATE OF CALIFORNIA. In the event ofany dispute between EXHIBITOR and LES relative to any loss, damage, or claim, such EXHIBITOR shall not be entitled to and shall notwithhold payment, or any partial payment, due to LES relative to any services, as an offset against the amount of any alleged loss ordamage. Any claim against LES shall be considered a separate transaction, and shall be resolved on its own merits. LES reserves theright to charge EXHIBITOR for the difference between the EXHIBITOR’s estimate of charges and the actual charges incurred by theEXHIBITOR, or for any charges that LES may be obligated to pay on behalf of the EXHIBITOR, , any shippingincluding without limitationcharges.

LABOR PROVIDED UNDER THE SUPERVISION OF LES

RESPONSIBILITIESLES shall be responsible for the performance of labor provided under this option. LES cannot assume responsibility for any acts of, or lossto, persons, parties and/or other contracting firms not under LES’s direct supervision and control. In no event shall LES be liable for loss ordamage caused by delay in labor beginning work when EXHIBITOR requests labor to begin later than the start of the working day. LES shallnot be responsible for loss, delay or damage due to strike, lockouts, and/or work stoppages, or other causes beyond LES’s reasonablecontrol.

INDEMNIFICATONLES agrees to indemnify, hold harmless, and defend EXHIBITOR from and against any and all demands, claims, causes of action, fines,penalties, damages, liabilities, judgments, and expenses (including but not limited to reasonable attorneys’ fees and investigation costs) forbodily injury, including any injury to LES employees, or property damage arising out of work performed by labor provided by and supervisedby LES, except when EXHIBITOR exercises direction and/or control over the work being performed.

LABOR PROVIDED UNDER THE SUPERVISION OF EXHIBITOR

RESPONSIBILITIESEXHIBITOR shall be responsible for the performance of labor provided under this section. It is responsibility of EXHIBITOR to superviselabor secured through LES in a reasonable manner as to prevent bodily injury and/or property damage and also to direct them to work in amanner that is in compliance with LES Safe Work Rules and/or Federal, State, County and Local ordinances, rules and/or regulations,including but not limited to Show or Facility Management Rules and/or Regulations. It is the responsibility of EXHIBITOR to check in withthe Service Desk to pick up labor, and to return to the Service Desk to release labor when the work is completed.

INDEMNIFICATIONEXHIBITOR agrees to indemnify, hold harmless, and defend LES from and against any and all demands, claims, causes of action, fines,penalties, damages, liabilities, judgements, and expenses (including but not limited to reasonable attorneys’ fees and investigation costs)for bodily injury, including any injury to LES employees, and/or property damage arising out of work performed by labor provided by LES butsupervised by EXHIBITOR. Further, EXHIBITOR’s indemnification of LES includes any and all violations of Federal, State, County or Localordinances, “Show Regulations and/or Rules” as published and/or set forth by Facility or Show Management, and/or directing laborprovided by LES to work in a manner that violates any of the above rules, regulations, and/or ordinances.

IMPORTANTPLEASE REFER TO LES’s MATERIAL HANDLING TERMS AND CONDITIONS AS THEY RELATE TO MATERIAL HANDLINGSERVICES. CONTRACTUAL TERMS DEPEND ON THE NATURE OF SERVICES SECURED BY EXHIBITOR THROUGH LES.TERMS & CONDITIONS MAY VARY FOR EACH TYPE OF SERVICE ORDERED THROUGH LES.


Payment & Labor.cdr

As the official service contractor‚ LEVY is the exclusive provider of freight services. Material handling includes unloading your exhibit material‚ storing up to 30 days in advance at the warehouse address‚ delivering to the booth‚ the handling of empty containers to and from storage‚ and removing of material from the booth for reloading onto outbound carriers. It should not be confused with the cost to transport your exhibit material to and from the convention or event. You have two options for shipping your advance freight — either to the warehouse or directly to show site.HOW DO I SHIP TO THE ADVANCE WAREHOUSE?• We will accept freight beginning 30 days prior to show move-in.• To check on your freight arrival‚ call Exhibitor Services at the number listed on

the Quick Facts.• To ensure timely arrival of your materials at show site‚ freight should arrive by

the deadline date listed on the Quick Facts and Shipping Instructions pages. Yourfreight will still be received after the deadline date‚ but additional charges will

• The warehouse will receive shipments Monday through Friday, except holidays. Refer to the Shipping Instructions page for warehouse receiving hours.

• The warehouse will accept crates‚ cartons‚ skids‚ trunks/cases and carpets. Loose or pad-wrapped materials must be sent directly to show site.

• All shipments must have a bill of lading or delivery slip indicating the number of pieces‚ type of merchandise and weight.

• Certified weight tickets must accompany all shipments.• Warehouse freight will be delivered to the booth prior to exhibitor setup.• Please call the number located on the Quick Facts if you want to ship

oversized material that requires special equipment to the warehouse.HOW DO I SHIP TO SHOW SITE?• Freight will be accepted only during exhibitor move-in. Please refer to the

Quick Facts for the specific exhibitor move-in dates and times.• All shipments must have a bill of lading or delivery slip indicating the number of

pieces‚ type of merchandise and weight.• Certified weight tickets must accompany all shipments.WHAT ABOUT PREPAID OR COLLECT SHIPPING CHARGES?• Collect shipments will be returned to the delivery carrier.• To ensure that your freight does not arrive “collect‚” mark your bill of lading

“prepaid.”• “Prepaid” designates that the transportation charges will be paid by the exhibitor

or a third party.HOW SHOULD I LABEL MY FREIGHT?• The label should contain the exhibiting company name‚ the booth number and

the name of the event.• The specific shipping address for either the warehouse or show site can be

found on the Quick Facts and Shipping Instructions pages.HOW DO I ESTIMATE MY MATERIAL HANDLING CHARGES?• Charges will be based on the weight of your shipment. Each shipment received

is considered separately. The shipment weight will be rounded to the next 100 pounds. Each 100 pounds is considered one “cwt.” (one hundred weight). All shipments are subject to reweigh.

• On the Order Form‚ select whether the freight will arrive at the warehouse or be sent directly to show site.

• Next‚ select the category that best describes your shipment. There are three categories of freight:

Crated: material that is skidded or is in any type of shipping container that can be unloaded at the dock with no additional handling required.

Special Handling: material delivered by the carrier in such a manner that it requires additional handling‚ such as ground unloading, stacked and constricted space unloading‚ designated piece unloading, loads mixed with pad-wrapped material, loads failing to maintain shipping integrity, carpet and/or pad-only shipments, and shipments that require additional time, equipment or labor to unload. Federal Express, UPS and all van lines are included in this category due to their delivery procedures.

Uncrated: material that is shipped loose or pad-wrapped‚ and/or unskidded machinery without proper lifting bars or hooks.

• Add overtime charges for inbound if material is delivered to the booth during the overtime period stated on the Quick Facts and Shipping Instructions pages.This includes both warehouse and show site shipments.

• Add overtime charges for outbound if material is loaded onto the outbound carrier during the overtime period stated on the Quick Facts and ShippingInstructions pages.

• Add the late delivery charge listed on the Order Form if the shipment is accepted at the warehouse or at show site after the deadline date listed on the Quick Factsand Shipping Instructions pages.

• The above services‚ whether used completely or in part‚ are offered as a package and the charges will be based on the total inbound weight of the shipment.

• Shipments received without receipts or freight bills, such as UPS and Federal Express, will be delivered to the booth without guarantee of piece count or condition.

WHAT HAPPENS TO MY EMPTY CONTAINERS DURING THE SHOW?• Pick up “Empty Labels” at the Service Center. Place a label on each container.

Labeled containers will be picked up periodically and stored in non-accessible storage during the show.

• At the close of the show‚ the empty containers will be returned to the booth in

• Please note that LEVY will assume no liability for interrupted travel plans due to thelength of time required for the empty container return. It is the responsibililty of theexhibitor to schedule travel plans accordingly.

random order. Depending on the size of the show‚ this process may take several hours.

HOW DO I PROTECT MY MATERIALS AFTER THEY ARE DELIVERED TO THE SHOW OR BEFORE THEY ARE PICKED UP AFTER THE SHOW?• Consistent with trade show industry practices‚ there may be a lapse of time

between the delivery of your shipment(s) to your booth and your arrival. The same is true for the outbound phase of the show — the time between your departure and the actual pick-up of your materials. During these times‚ your materials will be left unattended. We recommend that you arrange for a representative to stay with your materials or that you hire security services to safeguard your materials.

HOW DO I SHIP MY MATERIALS AFTER THE CLOSE OF THE SHOW?• Each shipment must have a completed Material Handling Agreement in order to

ship materials from the show. All pieces must be labeled individually.• To save time‚ complete and submit the Outbound Shipping Form in advance‚ or

you may contact the Service Center at show site for your shipping documents. The Material Handling Agreement and labels will be processed and available prior to show closing.

• After materials are packed‚ labeled‚ and ready to be shipped‚ the completed Material Handling Agreement must be turned in at the Service Center.

• Call your designated carrier with pick-up information. Please refer to the Quick Factsand Shipping Instructions pages for specific dates and times. In the event your selected carrier fails to show on final move-out day‚ your shipment will either be rerouted to LEVY’s carrier choice or delivered back to the warehouse atexhibitor’s expense.

• For your convenience‚ show-recommended carriers will be on site to handle outbound transportation.

WHERE DO I GET A FORKLIFT?• Forklift orders to install or dismantle your booth after materials are delivered

may be ordered in advance or at show site. We recommend that you order in advance to avoid additional charges at show site. Refer to the Order Form for available equipment.

• Advance and show-site orders for equipment and labor will be dispatched once a company representative signs the labor order at the Service Center.

• Start time is guaranteed only when equipment is requested for the start of the working day.

DO I NEED INSURANCE?• Be sure your materials are insured from the time they leave your firm until

they are returned after the show. It is suggested that exhibitors arrange all-risk coverage. This can be done by riders to your existing policies.

• All materials handled by LEVY are subject to the enclosed Terms and Conditions.OTHER AVAILABLE SERVICES (may not be available in all locations)• Cranes• Scissor lifts‚ condors• Access storage at show site• Exhibit transportation services (see enclosed Liberty Convention Freight form)• Security storage at show site• Short-term and long-term warehouse storage• Local pick-up and delivery

MATERIAL HANDLING FAQs

be incurred.

The following is a list of frequently asked questions pertaining to material handling and freight services. We strongly recommend thatyou read this document in its entirety to better familiarize yourself with the processes relating to material handling and freight services.

E X A M P L E

XXPO/Material6.cdr

MATERIAL HANDLING ORDER FORM & INVOICE


SUBTOTAL

TOTAL U. S. DOLLARS

MATERIAL HANDLING SERVICES

Crated: material that is skidded or is in any type of shipping container that can be loaded at the dock with no additionalhandling required.

material delivered by the carrier in such a manner that it requires additional handling, such as groundSpecial Handling:unloading, side door unloading, constricted space loading, designated piece loading, and stacked shipments.Federal Express and UPS and All Van Lines are included in this catergory due to their delivery procedures.

:00 A.M. To 3:00 P.M. Monday through Friday, Holidays excluded.Normal Warehouse Hours for Receiving Freight: 9material that is shipped loose or pad-wrapped, and/ or unskidded machinery without proper lifting bars or hooks.Uncrated:

8:00 A.M. To 4:30 pm Monday through FridayStraight Time -4:30 P.M. To 8:00 A.M. Monday through Friday, all day Saturday, Sunday, and Holidays.Overtime -

** Please be advised that overtime charges may apply during move-in or move-out.**

Showsite ShipmentCrated or Skidded Shipment......................................................................... $ 1 .00 $ .00...... 45 290Special Handling Shipment........................................................................... .00 3 .00...... 181 62Uncrated or Pad Wrapped Shipment............................................................ 1 .00 3 .00....... 93 86Small Package shipment (less than 30 lbs - per piece)................................ 55.00 55.00...........

Overtime Charge (Inbound)(In addition to above rates)Crated or Skidded Shipment......................................................................... $ 36.00 $ 72.00.......Special Handling Shipment........................................................................... 36.00 72.00.......Uncrated or Pad Wrapped Shipment............................................................. 36.00 72.00......Overtime Charge (Outbound)(In addition to above rates)Crated or Skidded Shipment......................................................................... $ 36.00 $ 72.00.......Special Handling Shipment............................................................................ 36.00 72.00......Uncrated or Pad Wrapped Shipment............................................................. 36.00 72.00......

Description Weight CWT Unit PriceEstimated

Total Charges

Crated or Skidded Shipment 1200 LBS ÷ 100 = 12 $1 .0058 $1,896.00

DESCRIPTION CWT Price MinimumDESCRIPTION CWT Price Minimum


Advance ShipmentCrated or Skidded Shipment......................................................................... $ 1 8.00 $ 6.00...... 5 31Special Handling Shipment........................................................................... 1 .00 3 .00...... 98 96Late to Warehouse (In Addition to Base Rate).................................................. 42.00 84.00..Small Package shipment (less than 30 lbs - per piece)....................................... 55.00 55.00

PLEASE NOTE: Total weight is in lbs. With a minimum shipment of 200 lbs. Please round up to the next 100 lbs whenfilling out the weight of your shipment.


COMPANY

CONTACT BOOTH#

PLEASE NOTE: Acceptance of Terms & Conditions willbe construed when the Material Handling ServiceAgreement is signed; or when exhibitor’s materials aredelivered to Levy Exposition Services Inc. warehouse or toa SHOW / EXPOSITION SITE for which Levy ExpositionServices Inc. is the official show contractor.






Orlando, FL

SHIPPING INSTRUCTIONS

SHIPMENTS CAN BE SENT DIRECTLY TO THE SHOW-SITE ON MOVE-IN DAY, OR TO THEADVANCE WAREHOUSE UP TO THIRTY DAYS PRIOR TO MOVE-IN.

All freight shipped to the advance receiving warehouse must be properly crated, boxed,or stretch wrapped on pallets.

For advance receiving, mail or fax the Material Handling Order Form & Invoice with pre-payment toLEVY EXPOSITION SERVICES INC. Shipments sent collect be accepted.WILL NOT

Advance receiving includes the following:-receiving your material at the warehouse up to thirty days in advance of the move-in day-delivering the shipment to your booth at the facility-removing empty crates from your booth to a designated storage area-returning your empty crates to your booth at the close of the show-loading your crates onto your designated carrier at the close of the show

The material handling services provided by LEVY EXPOSITION SERVICES INC. end with the close of theshow. It is the responsibility of the exhibitor to make appropriate arrangements with a carrier for shippingfollowing the close of the show. Please make special note of the allotted move-out times and days, andconfirm with your carrier that they are able to meet these allotted times.

Please remove all old shipping labels and ensure that all freight destined for the advance warehouseis labeled with the following information:


COMPANY NAME & BOOTH #Levy Exposition Services Inc.c/o Liberty CFS NV Inc.2502 Lake Orange DriveOrlando, FL 32837

Shipments may be sent to the advance warehouse up to thirty days prior to the move-in day for the show.All shipments however, must be received at the warehouse a minimum of one week (seven days) in advanceof the show move-in date. Shipments received less than seven days prior to the move-in day are subjectto extra charges and delivery time be guaranteed. All shipments must be received at the advancewill notwarehouse between the hours of 0 :00 and 15:00, Monday to Friday, no earlier than and8 October 11, 2017no later than .November 8, 2017 Please note that shipments received at the advance warehouse prior toOctober 11, 2017 or after November 8, 2017 will incur a $42.00 per hundred pounds surcharge.

Shipments must include an official weight ticket or bill of lading.

ADVANCE RECEIVING

SHOW-SITE RECEIVING

For show-site receiving, mail or fax the Material Handling Order Form & Invoice with pre-payment toLEVY EXPOSITION SERVICES INC. Shipments sent collect be accepted.WILL NOT

Show-site receiving includes the following:-receiving and signing for your shipment on your behalf-delivering the shipment to your booth at the facility-removing empty crates from your booth to a designated storage area-returning your empty crates to your booth at the close of the show-loading your crates onto your designated carrier at the close of the show

XPO/Material6a.cdr






Orlando, FL

The material handling services provided by LEVY EXPOSITION SERVICES INC. end with the close of the show.It is the responsibility of the exhibitor to make appropriate arrangements with a carrier for shipping followingthe close of the show. Please make special note of the allotted move-out times and days, and confirm withyour carrier that they are able to meet these allotted times.

Please remove all old shipping labels and ensure that all freight destined for show-site receivingis labeled with the following information:


COMPANY NAME & BOOTH #Disney Yacht and Beach Club Resortc/o Levy Exposition Services Inc.1700 Epcot Resorts Blvd,Orlando, FL 32830

PLEASE NOTE THAT SHIPMENTS BE RECEIVED AT THE DISNEY YACHT AND BEACH CLUBWILL NOTRESORT PRIOR TO ON WEDNESDAY, NOVEMBER 15 . SHIPMENTS THAT ARRIVE8:00 AM , 2017

th

PRIOR TO THIS WILL BE REFUSED.

Shipments must include an official weight ticket or bill of lading.

See Material Handling Terms & Conditions Sheet enclosed.

SHOW-SITE RECEIVING (CONT’D.)SHOW-SITE RECEIVING (CONT’D.)

LIMITS OF LIABILITY

XPO/Material6a.cdr

SHIPPING INSTRUCTIONS (CONT’D.)






Orlando, FL

MATERIAL HANDL ING

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Acceptance of said terms and conditions will be constructed when any of the following conditions are met:~ THE MATERIAL HANDLING ORDER FORM AND INVOICE IS SIGNED; OR~ WHEN EXHIBITOR’S MATERIALS ARE DELIVERED TO LES’S WAREHOUSE OR TO A SHOW/ EXPOSITION SITE

FOR WHICH LEVY EXPOSITION SERVICES INC. IS THE OFFICIAL SHOW CONTRACTORS; OR~ WHEN AN ORDER FOR LABOR AND/ OR RENTAL EQUIPMENT IS PLACED BY AN EXHIBITOR WITH LEVY


1. DEFINITIONS. “Levy Exposition Services Inc” (”LES”), andany sub-contractors affiliated within the show.

2. PACKAGING AND CRATES. LES shall not be responsible fordamage to loose, uncrated materials, pad-wrapped or shrink-wrapped materials, glass breakage, concealed damage,carpets in bags or poly, or materials improperly packed. Inaddition, LES shall not be responsible for crates and packagingwhich are unsuitable for handling, in poor condition, or haveprior damage. Crated and packaging should be of a design toadequately protect contents for handling by forklift and similarmeans.

3. EMPTY CONTAINERS. Empty container labels will beavailable at the show site service desk. Affixing labels to thecontainers is the sole responsibility of EXHIBITOR or hisrepresentative. All previous labels must be removed orobliterated. LES assumes no responsibility for: Error in theabove procedures; Removal of containers with old empty labels& without LES labels; or Improper information on empty labels.LES WILL NOT BE LIABLE FOR LOSS OR DAMAGE TOCRATES AND CONTAINERS OR THEIR CONTENTS WHENSAID ITEMSARE IN EMPTY CONTAINER STORAGE.

4. INBOUND SHIPMENT(S). Consistent with trade showindustry practices, there may be a lapse of time between thedelivery of shipment(s) to the booth and the arrival ofEXHIBITOR or his representative, and during such time thematerials will be left unattended. LES WILL NOT BERESPONSIBLE OR LIABLE FOR ANY LOSS, DAMAGE,THEFT, OR DISAPPEARANCE OF EXHIBITOR’SMATERIALS AFTER SAME HAVE BEEN DELIVERED TOEXHIBITOR’S BOOTH AT SHOW SITE. LES highlyrecommends the securing of security services for Facility orShow Management.

5. OUTBOUND SHIPMENT(S). Consistent with trade showindustry practices, there may be a lapse of time between thecompletions of packing and the actual pickup of materials fromthe booths for loading onto a carrier and during such time thematerials will be left unattended. LES WILL NOT BERESPONSIBLE OR LIABLE FOR ANY LOSS, DAMAGE,THEFT, OR DISAPPEARANCE OF EXHIBITOR’SMATERIALS BEFORE SAME HAVE BEEN PICKED UP FORRELOADING AT THE CONCLUSION OF THE EVENT. LEShighly recommends the securing of security services fromFacility or Show Management. All Material HandlingAgreements submitted to LES by EXHIBITOR will be checkedat the time of pickup from booth and corrections will be madewhere discrepancies exist between the quantities of timeslisted by EXHIBITOR and the actual count of such items in thebooth at the time of pickup.

6. LES’S RESPONSIBILITIES. LES shall be responsible only forthose services which it directly provides. LES assumes noresponsibility for any persons, parties, or other contracting firmsnot under LES’s direct supervision and control. LES shall notbe responsible for loss, delay, or damage due to strike,lockouts, work stoppages, natural elements, vandalism, acts ofGod, civil disturbances, power failure, explosion, acts ofterrorism or war, other causes beyond LES’s reasonablecontrol, nor for ordinary wear & tear in the handling of materials.

7. INSURANCE. It is understood that LES is not an insurer.Insurance on exhibit materials, if any, shall be obtained byEXHIBITOR in amounts and for perils determined byEXHIBITOR. EXHIBITOR agrees to provide LES with a releaseof subrogation to the extent of any insurance settlementreceived.

8. CLAIM(S) FOR LOSS. Claims for loss or damage must bereported at show-site.A. PAYMENT FOR SERVICES MAY NOT BE WITHHELD. In

the event of any dispute between the EXHIBITOR shall notbe entitled to and shall not withhold payment, or any partialpayment due to LES for its services, as an offset against theamount of any alleged loss or damage.

If found damaged LES’s soleB. MAXIMUM RECOVERY.and exclusive MAXIMUM liability for loss or damage toEXHIBITOR’s materials and EXHIBITOR’s sole andexclusive remedy is limited to $.50 per pound article with amaximum liability of $100.00 per item, or $1,500.00 pershipment.

9. JURISDICTION. THIS CONTRACT SHALL BE CONSTRUEDUNDER THE LAWS OF THE STATE OF CALIFORNIAWITHOUT GIVING EFFECT TO ITS CONFLICT OF LAWSRULES. EXCLUSIVE VENUE FOR ALL DISPUTES ARISINGOUT OF OUR RELATING TO THIS CONTRACT SHALLRESIDE IN A COURT OF COMPETENT JURISDICTION INSAN FRANCISCO, CALIFORNIA.

10. INDEMNIFICATION. EXHIBITOR agrees to indemnify, foreverhold harmless and defend LES, its employees, directors,officers, and agents from and against any and all demands,claims, causes of action, fines, penalties, damages (includingconsequential), liability, judgments, and expenses (includingbut not limited to reasonable attorney’s fees and investigationcosts) on account of personal injury, death, or damage to or lossof property or profits arising out of, or contributed to, by any ofthe following:- EXHIBITOR’s negligent supervision of any labor securedthrough LES, or the negligent supervision of such labor by anyof EXHIBITOR’s employees, agents, representative,customers, invitees and/or Exhibitor Appointed Contractor(EAC).- EXHIBITOR’s negligence, willful misconduct, or deliberate actof EXHIBITOR’s employees, agents, representatives,customers, invitees and/or any Exhibitor Appointed Contractor(EAC) at the show or exposition to which this contract relates.- EXHIBITOR’s violation of U.S.A. or Local ordinances or theviolation of Show Regulations and/or Rules as published andset forth by Facility and/or Show Management.- EXHIBITOR’s inclusion of illegal substances, hazardousmaterials or waste in any shipment placed with LES and for theviolation of the representations and warranties made regardinghazardous materials made on the front of thisAgreement.

11. MISCELLANEOUS. EXHIBITOR, as a material part of theconsideration LES for material handling and transportationservices, waives and releases all claims against LES, itsemployees, agents, officers, and directors, with respect to allmatters for which LES has disclaimed liability pursuant to theprovisions of this contract. The EXHIBITOR acknowledgesthat he or she has read this agreement, understands it andagrees to be bound by its terms, and further agrees that it is thecomplete and exclusive agreement between the parties. Theinvalidity or enforceability of any provision hereof shall notaffect, modify, or impair the validity and enforceability of allprovisions herein.


Material Terms.cdr

Cut along line and tape label to shipment


The above labels are provided for your convenience.

Place one on each piece shipped to the ADVANCE WAREHOUSE

To:______________________________

2502 Lake Orange Drive

EXHIBITOR NAME

BOOTH NO. _________ # ________ OF _________PCS.

EVENT: _________________________________________________

ADVANCE WAREHOUSE

To:______________________________EXHIBITOR NAME

EVENT: _______________________________________________

BOOTH NO. _________ # ________ OF _________PCS.

If more labels are needed, copies are acceptable.

ADVANCE WAREHOUSE



Levy Exposition Services Inc.

Orlando, FL 32837

c/o Liberty CFS / YRC

2502 Lake Orange Drive

Levy Exposition Services Inc.

Orlando, FL 32837

c/o Liberty CFS / YRC



Orlando, FL



The above labels are provided for your convenience.

Place one on each piece shipped to SHOWSITE.

SHOWSITE

To:______________________________

Orlando, FL 328301700 Epcot Resorts Blvd

Disney Yacht and Beach Club Resort

EXHIBITOR NAME

BOOTH NO. _________ # ________ OF _________PCS.

EVENT: _________________________________________________

SHOWSITETo:______________________________

EXHIBITOR NAME

EVENT: ________________________________________________

BOOTH NO. _________ # ________ OF _________PCS.

If more labels are needed, copies are acceptable.



2017

c/o Levy Exposition Services Inc.

Orlando, FL 328301700 Epcot Resorts Blvd

Disney Yacht and Beach Club Resortc/o Levy Exposition Services Inc.



Orlando, FL

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LibertyCFS NV, Inc.Tel: (905) 338-3993 Fax: (905) 338-1092

Order Form Please accept this form as your authority to provide Customs and/or Transportation services.

We wish to use LibertyCFS NV, Inc. for the following:

Customs & Transportation Customs Only Transportation Only Return Only

Company Exhibitor Booth

IRS # Tax ID Show Name

Address 1 Address 1

Address 2 Address 2

City State Zip Address 3

Contact City State Zip

Phone Fax On-site Contact Cell

Shipper Other: Shipper Other:

Address 1 Address 1

Address 2 Address 2

City State Zip City State Zip

Contact Contact Phone

Phone Fax PU Date Arrive by

Card Number:

Expiry Date:

Security Code:

Charge to: Visa Master Card AMEX

E-mail Address:

I hereby authorize the use of this card for payment of services related to this order form. I understand that

Card Holder Name

declined credit cards are subject to a 30% surcharge. Signature

Transportation Info Service Requested:

Express Economy LTL 5-7 Day Overseas Pick up Date Hours - From To

Delivery Date Time

Description of Packages/Contents

Inside Pickup Inside Delivery

Liftgate for pickup Liftgate for delivery

Other (Specify below)

Cartons or Boxes

Vinyl Cases

Wooden Crates

Flat Pieces

Dimensions (LxWxH)

Description of Goods

Declared Value for Carriage

The declared value for carriage of this shipment is agreed to and understood to

be $0.50 per pound multiplied by the number of pounds of that part of the

shipment lost or damaged but not less than $50.00 per shipment unless a value

is declared below and applicable charges paid thereon. Subject to the Terms

and Conditions on reverse side the liability of Carrier for loss/damage is as

stated below. Min $45 or 4% of Value

Enter Amount $

Skids or Pallets FAA/DOT Security Approval: Known/Unknown

Shipper Security and Hazardous Material Declaration Trunks

Tubes

Other

Total

Weight

Pounds Kilos

I certify that this shipment does not contain any unauthorized explosives,

destructive devices or hazardous materials. I consent to search of this

shipment. I am aware that this endorsement and original signature, along with

other shipping documents, will remain on file until this shipment is delivered. I

also certify that the described materials are properly classified, described,

packaged, marked and labeled and are in proper condition for transportation

according to the applicable regulations of DOT

Signature

Please note: All charges are in USD, unless otherwise stated

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XXPO/non-official.cdr

REQUEST FOR SET-UP BY NON-OFFICIAL CONTRACTOR



ORIGINAL CERTIFICATES ONLYPHOTOSTATS OR FACSIMILES WILL NOT BE ACCEPTED

ORIGINAL CERTIFICATES ONLYPHOTOSTATS OR FACSIMILES WILL NOT BE ACCEPTED

Name of Exhibiting Company: _______________________________ Booth Number: __________________________

Contracting Company Name: _______________________________________________________________________

Contracting Company Address: ______________________________________________________________________

City: ________________ State: ________________ Zip: _______ Telephone: ___________________ Fax__________

Estimated Arrival at Show_________________________________ Number of Workers: _________________________

Authorized By: _________________________________________Title: ______________________________________(Sign & Print Name)

with local law.Exhibitors wishing to use a contractor other than Levy Exposition Services Inc. to setup and dismantle their exhibits must fill out this form and return to us no later thanOctober 31, 201 . If this form and the certificate or insurance from the non-official7contractor is not received by October 31, 201 , your non-official contractor will be7allowed to supervise only. All labor must then be hired from Levy Exposition Services



The unpacking, erection, assembling, dismantling, and packing of displays and equipment must bedone by the correct type of labor. Levy Exposition Services Inc., the official contractor, will haveskilled craftsmen available to assist Exhibitors. Arrangements for labor should be made throughLevy Exposition Services in advance whenever possible. Official labor forms are included in theExhibitor Service Manual.

Exceptions to the foregoing will be considered only in cases where permission has been requestedin writing by the Exhibitor and received by Levy Exposition Services Inc. no later thanOctober 31, 201 .7 Exceptions will be granted only if it will not interfere with or prejudice the orderlyset-up, interim service, or dismantling of the Exposition. An exception will not be granted if it isinconsistent with the commitments made and obligations assumed by Management in any contractwith service contractors of its lease with the For servicesDisney Yacht and Beach Club Resort.such as electrical, plumbing, telephone, drayage, rigging and booth cleaning, no exception will bemade, and the contractor designated by Management will be used.

All agents representing the Exhibitor must be fully identified by the official Management badge. Allagents or representatives who are performing services other than the Exhibitor’s own employeesmust provide Levy Exposition Services with Certificates of Insurance naming Levy ExpositionServices Inc., American Society of Regional Anesthesia and Pain Medicine, ASRA 16 Annual

th

Pain Medicine Meeting Disney Yacht and Beach Club Resort as additional insured’s, and theby These Certificates or Insurance must include public liability and propertyOctober 31, 201 .7damage insurance for at least $1,000,000, and workmen’s compensation insurance in accordance



Orlando, FL

ACCENT

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A-2

A-4

A-9A 98A-8A-7

A-3A

A-1A-

A-1 Sofa - Black Suede83”L x 32”D x 32”H

A-2 Loveseat - Black Suede59”L x 32”D x 32”H

A-3 Chair - Black Suede39”L x 32”D x 32”H

A-4 Bench - Black Suede61”L x 20”D x 17”H

A-7 Corner - Black Suede33”L x 33”D x 28”H

A-8 Armless - Black Suede31”L x 33”D x 28”H

A-9 Half Ottoman - Black Suede

72”L x 36”D x 18”H

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B-1

B-2BB-3

C-1

C-3C2C-

B-1 Sofa - Tan Suede79”L x 34”D x 32”H

B-2 Loveseat - Tan Suede54”L x 34”D x 32”H

B-3 Chair - Tan Suede

32”L x 34”D x 32”H

C-1 Sofa - Black Leather

77”L x 34”D x 32”H

C-2 Loveseat - Black Leather54”L x 34”D x 32”H

C-3 Chair - Black Leather32”L x 34”D x 32”H

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E-2

1E-1

E-3

E-65E-

E-4E

E-1 Sofa - White77”L x 34”D x 32”H

E-2 Chair - White53”L x 34”D x 32”H

E-3 Bench - White53”L x 27”D x 16”H

E-4 Sofa - Red77”L x 34”D x 32”H

E-5 Chair - Red53”L x 34”D x 32”H

E-6 Bench - Red53”L x 27”D x 16”H

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�Electric Required for r following products

E-10C Multi Devise Charging Cable for E-10

Add Optionsp

E-14C Power GrommetE-14L Under Lighting

E-11 Juiced Sofa72”L x 31”D x 32”H

E-12 Juiced Love Seat55”L x 31”D x 32”H

E-13 Juiced Chair33”L x 31”D x 32”H

E-10 End - White Cube20”L x 20”D x 20”H

*E-10C Multi Device ChargingOption for E-10 End Table

M-5J Juiced Bar Table -White / Chrome30”Dia x 42”H

E-14 Tall Pub Table - White60”L x 25”D x 42”H

E-14C Optional Power Grommett

E-14L Optional Under Lighting

E-15 Short Pub Table - White

60”L x 25”D x 30”H

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E-11

E-14E

E-10E 10

E-10 End Table Option:p

E-15E-

12E-1 E-13E-

M-5JM-5J

1I-1 I-2I 2 I-3I 3

I-64 I-4 I-5

WHITEI-1 Curved Sofa

71”L x 34”D x 30”H

I-2 Curved Bench71”L x 34”D x 17”H

I-3 Round Ottoman 40”L x 40”D x 17”H

BLACKI-4 Curved Sofa

71”L x 34”D x 30”H

I-5 Curved Bench71”L x 34”D x 17”H

I-6 Round Ottoman40”L x 40”D x 17”H

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165”168”

101”

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H-2H

3H-3

H-1

BLACKH-1 Sectional Loveseat 50”L x 38”D x 29”H

H-2 Sectional Corner 40”L x 40”D x 29”H

WHITEH-3 Sectional Loveseat 50”L x 38"D x 29”H

H-4 Sectional Corner 40”L x 40”D x 29”H

130”

130” 130” 100”

-4H-

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H-5H

-2G- G-3G

G-1

H-6H

I-10

G-1 Sofa - Red78 ”L x 41”D x 30”H

G-2 Chair - Red40”L x 36”D x 30”H

G-3 Bench - Red61”L x 21”D x 17”H

I -10 Da VinciFolding Sofa - White74”L x 35”D x 36”H

Flat (74”L x 48”D x 18”H)

H-5 Modern Sofa - White72”L x 31”D x 26”H

H-6 Modern Chair -White

35”L x 32”D x 27”H

Sofa Folds into Flat Bench

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-10A- A-11

B-4B

D-4 D-5D

-7E-

6D-

E-9

B-5

I-7

I-7 Cocktail - Chrome / Glass 45”L x 32” D x 18”H

I-8 End - Chrome / Glass25”Dia x 21”H

A-10 Cocktail - Black / Glass48”L x 24”D x 17”H

A-11 End - Black / Glass21”Lx21”Dx21”H

B- 4 Cocktail - Natural48”L x 24”D x 17”H

B-5 End - Natural24”Dia x 21”H

D-4 Cocktail - Black Square30”L x 30”D x 16”H

D-5 Cocktail - Black Cylinder30”Dia x 15”H

D-6 End - Black Square24”L x 24”D x 20”H

E-7 Cocktail - White Square31”L x 31”D x 15”H

E-8 Cocktail - White Rectangle47”L x 23”D x 16”H

E-9 End - White Square20”L x 20”D x 19”H

E-10 End - White Cube20”L x 20”D x 20”H

*E-10C Multi Devise Charging Option for D-6 or E-10

I-8

�E-10C Charging Optional

E-10E-

�E-10C Charging Optional

E-8

F-7 Stage Chair - Black 27”L x 23”D x 35”H

F-8 Stage Chair - Burgundy27”L x 23”D x 35”H

F-9 Stage Chair - White27”L x 23”D x 35”H

F-1 Barcelona Chair - Red 31”L x 35”D x 33”H

F-2 Barcelona Ottoman - Red 24”L x 24”D x 17”H

F-3 Barcelona Chair - White31”L x 35”D x 33”H

F-4 Barcelona Ottoman - White24”L x 24”D x 17”H

F-5 Barcelona Chair - Black 31”L x 35”D x 33”H

F-6 Barcelona Ottoman - Black 24”L x 24”D x 17”H

I-9 Glove Chair - White30”L x 30”D x 32”H

K-12 Stage Chair - Mocha28”L x 26”D x 32”H

E-6 Bench - Red53”L x 27”D x 16”H

E-3 Bench - White53”L x 27”D x 16”H

J-19 Bench - Rustic Wood59”L x 16”D x 17.5”H

A-4 Bench - Black Suede61”L x 20”D x 17”H

F-1

F-2F

F-3

F-4F

F-5

-6F-

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K-12K

F-9

I-9

F-8F-7

J-19

E-6 E 3E-3

A-4��

-11J-0J-10

G-4G

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G-4 LED Cube - Glow20”L x 20”D x 20”H

J-12 Cube - Black Leather17”L x 17”D x 17”H

J-13 Cube - Orange Leather17”L x 17”D x 17”H

J-14 Cube - White Leather17”L x 17”D x 17”H

J-15 Cube - Red Leather17”L x 17”D x 17”H

J-16 Swivel Ottoman - White 18”Dia x 17.25”H

J-17 Swivel Ottoman - Orange 18”Dia x 17.25”H

J-18 Swivel Ottoman - Black18”Dia x 17.25”H

J-10 Storage Cube - White18”L x 18”D x 17”H

J-11 Ottoman - Black Leather18”L x 18”D x 18”H

J-20 Work Station - Black57”L x 24”D x 40”H

J-21 Work Station - White57”L x 24”D x 40”H

O-10 Parson Desk - Black48”L x 24”D x 29”H

J-14J-14J-13J 13J-12J-12 J-15J-15

J 6J-16 J 18J-18

J 20J-20 J 21J-21

J-17

��O-10

L-24L

L-21

L-9BL- L-9WL 9

K-6K

L-3L

K-5K

M-1M M-3M

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J-1J J-2J- 3J-3 J-4J-

J-1 Dynamic Chair - Black23”L x 24”D x 32”H

J-2 Dynamic Chair - Green23”L x 24”D x 32”H

J-3 Dynamic Chair - Orange23”L x 24”D x 32”H

J-4 Dynamic Chair - White23”L x 24”D x 32”H

L-3 Maple / Chrome Chair16”L x 18”D x 31”H

L-9B Chair - Black / Chrome16”L x 18”D x 31”H

L-9R Chair - Red / Chrome16”L x 18”D x 31”H

L-9W White / Chrome16”L x 18”D x 31”H

K-5 Euro Chair - Black22”L x 23”D x 28”H

K-6 Jet Black Chair 16”L x 18”D x 31”H

L-24 Anaheim Chair - White18”L x 20”D x 36”H

M-16 Gunmetal Chair18”L x 21”D x 34”H

L-21 Chrome Chair 24”L x 18”D x 29”H

M-1 Chair - Blue / Black20”L x 20”D x 32”H

M-3 Chair - Red / Black20”L x 20”D x 32”H

L-9RL-9

L-24L

16M-

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L-1 / L-2L-1 /

K-1 / K-2 / K-3 / K-4

L-15L 15

L-7WL 7W

L-20

L-7 / L-8L 7 / L

L-14

L-1 Table - Maple / Chrome30”Dia x 29”H

L-2 Table - Maple / Chrome36”Dia x 29”H

L-7W Table - White / Chrome30”Dia x 29”H

L-7S Table - White Square30”L x 30”D x 29”H

L-7 Table - Black / Chrome30”Dia x 29”H

L-8 Table - Black / Chrome36”Dia x 29”H

K-1 Table - Black24”Dia x 29”H




L-7R Table - Rustic30” L x 30”D x 30”H

L-20 Table - Chrome30”Dia x 29”H

L-14 Glass Table - Black (Rounded Corners)

42”Dia x 29”H

L-15 Glass Table - Chrome36”Dia x 29”H

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7WL-

L-7R

L 7SL-7S

M-10M 1 M-11M M-12M M-13M

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LL-6 L-12W

K-10 -19L-L-23

M-14M

M-4 M-15M-2

K-11

M-6M L-18

L-12BL

L-18BL

L-6 Barstool - Maple / Chrome16”L x 18”D x 42”H

L-12W Barstool - White / Chrome16”L x 18”D x 42”H

L-12B Barstool - Black / Chrome16”L x 18”D x 42”H

L-12R Barstool - Red / Chrome16”L x 18”D x 42”H

M-6 Curve Barstool White / Chrome - Adj17”L x 18”D x 35”H

M-14 Crescent StoolWhite / Chrome - Adj22”L x 19”D x 40”H

L-18B Swivel with Back White / Chrome - Adj23”L x 17”D x 42”H

L-18 Swivel StoolWhite / Chrome - Adj

15”L x 15”D x 25”- 33”H

K-10 Euro Stool - Black21”L x 20”D x 41”H

K-11 Jet Black Stool16”L x 18”D x 42”H

L-23 Stool - Chrome 20”L x 16”D x 39”H

L-19 Swivel StoolBlack / Chrome - Adj

15”L x 15”D x 25”- 33”H

M-2 Barstool - Blue / Black20”L x 22”D x 45”H - Swivel

M-4 Barstool - Red / Black 20”L x 22”D x 45”H -Swivel

M-4B Barstool - Black / Black 20”L x 22”D x 45”H - Swivel

M-15 Gunmetal Barstool18”L x 18”D x 29”H

M-10 Scoop - Red17” L x 22” - 33”H - Adj

M-11 Scoop - Grey17” L x 22”- 33”H - Adj

M-12 Scoop - Black17” L x 22”- 33”H - Adj

M-13 Scoop - White17” L x 22”- 33”H - Adj

2RL-12

M-4BM

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L-4 / L-5

L-10 / L-11L

M-5M 5

L-22L 2L-17 M-7M M-8M M-9M

L-4 Bar Table - Maple / Chrome30”Dia x 42”H

L-5 Bar Table - Maple / Chrome36”Dia x 42”H

M-5 Bar Table - White / Chrome30”Dia x 42”H

M-5J Charging Bar Table - White / Chrome30”Dia x 42”H

M-5S Bar Table - SquareWhite / Chrome

30”L x 30"D x 42”H

L -10 Bar Table - Black / Chromee30”Dia x 42”H

L -11 Bar Table - Black / Chrome36”Dia x 42”H

K-7 Bar Table - Black24”D ia x 42”H

K-8 Bar Table - Black30”Dia x 42”H

K-9 Bar Table - Black36”Dia x 42”H

M-5R Bar Table - SquareRustic

30”L x 30"D x 42”H

L-17 Bar Table - Glass / Chrome28”Dia x 42”H

L-22 Bar Table - Chrome30”Dia x 42”H

M-7 Gelato Table -White24”Dia x 31”- 40”H - Adj

M-8 Gelato Table - Grey24”Dia x 31”- 40”H - Adj

M-9 Gelato Table - Black24”Dia x 31”- 40”H -Adj

K-7 / K-8 / K-9L-10 / L-11

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M-5S

M-5R

M-5J Charging CapableM g g pSee Page 5g

N-1N 1

N-9

N-12N

N-15N

N-2 -3N-

0N-1

N-4N 4

N-16N

14N-N-11N

N 7N-7N-5

-8N-N-6

N-1 Pedestal - Black 12”L x 12”D x 30”H



N-4 Pedestal - Grey12”L x 12”D x 30”H


N-6 Pedestal - Grey12”Lx12”Dx42”H




N-10 Pedestal - Grey 18”L x 18”D x 42”H

N-15 Pedestal - White18”L x 18”D x 36”H

N-16 Pedestal - White18”L x 18”D x 42”H

N-11 Pedestal - Black24”Lx24”Dx42”H

N-12 Pedestal - Grey 24”Lx24”Dx42”H

N-13 Locking Pedestal - Black 24”Lx24”Dx42”H

N-14 Locking Pedestal - White24”Lx24”Dx42”H

N-13N

N-13

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1O-

O-3O

O-6

O-2

O-4O

O-5

O-7

O-1 Martini Bar50”L x 50”D x 47”H

O-2 Martini Bar withColored Lighting.

50”L x 50”D x 47”H

O-3 Cosmopolitan Bar 72”L x 27”D x 42”H

O-4 Cosmopolitan Bar withLighting Option

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O-5 ReceptionCounter - Black

48”L x 16”D x 42”H

O-6 ContourCounter with Literature

Holder - Black45”L x 21”D x 41”H

O-7 Contour Counter with Literature

Holder - Grey 45”L x 21”D x 41”H

�Electric Required for Lighting Optionsequired for Lighting Options

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6 P-66ft

0 P-1 � �

P-6C P 6 8ft

P-11P 1 8ft

P-14P-14

P-3 6ft

P-16

P-7 6ft

P-1 6ft

P-15P

P-5 10ft

P-9 10ft

P-4P 48ft

P-8 P-88ft

P-28ft

3P-1

P-16 Table - White79”L x 36”D x 30”H

P-1 Table - Maple 6ft72”L x 36”D x 29”H

P-2 Table - Maple 8ft 96”L x 48”D x 29”H

P-3 Table - Mahogany 6ft72”L x 36”D x 29”H



P-6 Table - Honey Oak 6ft72”L x 36”D x 29”H

P-6C Table - Honey Oak 8ft96”L x 48”D x 29”H

P-7 Table - Black Oval 6ft72”L x 36”D x 29”H



P-10 Table - Grey Oval 6ft 72”L x 36”D x 29”H

P-11 Table - Grey Oval 8ft 96”L x 48”D x 29”H

P-13 Chrome Table - White Frosted Glass

53”L x 33”D x 29”H

P-14 Table - Honey Oak42”Dia x 29”H

P-15 Table - Mahogany42” Dia x 29”H

P-18 Table - Rustic 8ft 96” L x 36”D x 30” H

P-19 Optional Power Grommet

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P-18 8ft

P-19 Power Grommet (Optoinal)

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Q-4QQ-3Q

Q-6Q

Q-14

-8Q-

Q-12

Q-1Q

Q-7Q

Q-11

Q-5Q

Q-9Q

Q-13

Q-1 Leather Executive - Black25”L x 28”D x 43”H

Q-3 Leather Izzo - White 25”L x 28”D x 42”H

Q-4 Leather Izzo - Black25”L x 28”D x 42”H

Q-5 Jr. Executive - Black24”L x 25”D x 38”H

Q-6 Jr. Executive - Grey24”L x 25”D x 38”H

Q-7 Sled Chair - Black24”L x 24”D x 32”H

Q-8 Sled Chair - Grey24”L x 24”D x 32”H

Q-9 Breuer Chair - Black / Chrome

19”L x 23”D x 31”H

Q-10 Breuer Chair - Grey / Chrome

19”L x 23”D x 31”H

Q-11 Drafting Stool - Black20”L x 23”D x 51”H

Seat Height 23”-33”H Adj

Q-12 Drafting Stool - Grey20”L x 23”D x 51”H


Q-13 Secretarial Chair - Black 20”L x 23”D x 36”H


Q-14 Secretarial Chair - Grey20”L x 23”D x 36”H


10Q-1

Q-4Q

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O-22 Stanchion Pole

O-16 O-20OO-14

O-18

O-12

O-15

O-25

O-19

O-1311O-1

O-18 iPad Stand - White14”H x 41”Dia Base

O-19 iPad Stand - Black14”H x 41”Dia Base

O-22 Stanchion Pole - Chrome39” H

O-23 Stanchion Rope 6.5’ Burgundy

O-24Stanchion Rope 6.5’ Black

O-25 Park Bench - Black50"L x 21"D x 35"H

O-11 Refrigerator20”L x 20”D x 34”H

115 Volts / 155.25 Watts

O-12 Coat Rack21"x 21" Base x 68”H

A-12 Floor Lamp - Silver72"H

O-13 Free Standing Mirror 20”W x 58”H

O-14 Literature Stand 6 pocket

10”L x 9”H x 64”H

O-15 Folding Literature Stand Silver

11”L x 15”D x 60”H

O-16 Folding Literature StandBlack

11”L x 15”D x 60”H

O-20 Universal Tablet Stand Base 17.5”W x 49”H

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-12A-

O 23 O-23Burgundy RopeBurgundyRopeO-24 Black Rope

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-2R-

R-6

R-3

R-11R

R-4

R-8R 8

R-12

1R-

R-9R R-10R 10R

R-7R 7

R-1 Etagere - Black(Glass Shelves)

30”L x 14”D x 67”H

R-2 Etagere - Chrome(Glass Shelves)

30”L x 14”D x 67”H

R-3 Bookcase - Grey36”L x 12”D x 48”H

R-4 Bookcase - Black36”L x 12”D x 48”H

R-5 Bookcase - Grey36”L x 12”D x 72”H

R-6 Bookcase - Black36”L x 12”D x 72”H

R-7 Filing Cabinet - Grey(2 drawer)

15”L x 25”D x 29”H

R-8 Filing Cabinet - Black (2 drawer)

15”L x 25”D x 29”H

R-9 Filing Cabinet - Black (4 drawer)

15”L x 25”D x 52”H

R-10 Storage Cabinet - Grey36”L x 18”D x 42”H

R-11 Storage Cabinet - Black 36”L x 18”D x 42”H

R-12 Storage Cabinet - Black36”L x 18”D x 72”H

R-55

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S-1S-1

S-3S

S-5S

S-2

S-4S

S-6S

S-1 Desk - Natural / Black60”L x 30”D x 29”H

S-2 Credenza - Natural / Black 60”L x 20”D x 29”H

S-3 Desk - Honey Oak 60”L x 30”D x 29”H

S-4 Credenza - Honey Oak60”L x 20”D x 29”H

S-5 Desk - Mahogany 60”L x 30”D x 29”H

S-6 Credenza - Mahogany60”L x 20”D x 29”H

S-5

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4G-4

-6G-

G-9G

G-7G

G-10

G-5

G-4 LED Cube - Glow20”L x 20”D x 20”H

G-5 Twisted Cube - Glow 22”L x 22”D x 17”H

G-6 LED Fluted Bar TableGlow

26”L x 26”D x 43”H

G-7 LED Pedestal - Glow15.5”L x 15.5“D x 40”H

G-9 LED Curve Bar - Glow64”L x 23”D x 42”H

G-10 Straight Bar - Glow48”L x 19”D x 42”H

LED Items come Fully Chargedwith remote control

to adjust color options

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v017.1 425

A-1 Black Suede Sofa $425 H-3 White Sectional Loveseat $448 L-12R Red/Chrome Barstool $172 O-13 Free Standing Mirror $150A-2 Black Suede Loveseat $385 H-4 White Sectional Corner $328 L-12W White/Chrome Barstool $172 O-14 Literature Stand $126A-3 Black Suede Chair $270 H-5 Wht/Chrm Modern Sofa $475 L-14 Black/Glass Table $155 O-15 Silver Folding Lit. Stand $167A-4 Black Suede Bench $241 H-6 Wht/Chrm Modern Chair $275 L-15 Chrome/Glass Table $150 O-16 Black Folding Lit. Stand $167A-7 Black Suede Corner $270 I-1 White Curve Sofa $489 L-17 Chrm/Glass Tall Bar Tbl $195 O-18 White iPad Stand $126A-8 Black Suede Armless $270 I-2 White Curve Bench $316 L-18 Wht/Chrm Swivel Stool $150 O-19 Black iPad Stand $126A-9 Blk/Half Round Ottoman $339 I-3 White Round Ottoman $241 L-18B Wht Swivel Stool w/ Back $184 O-20 Universal Tablet Stand $126A-10 Black/Glass Cktl. Table $178 I-4 Black Curve Sofa $489 L-19 Blk/Chrome Swivel Stool $150 O-22 Chrome Stanchion $50A-11 Black/Glass End Table $161 I-5 Black Curve Bench $316 L-20 30" Chrome Table $155 O-23 Burgundy Rope $30A-12 Silver Floor Lamp $86 I-6 Black Round Ottoman $241 L-21 Chrome Chair $144 O-24 Black Rope $30B-1 Tan Suede Sofa $425 I-7 Chrome/Glass Cktl. Tbl $201 L-22 30" Chrome Tall Bar Tbl $184 O-25 Black Park Bench $168B-2 Tan Suede Loveseat $385 I-8 Chrome/Glass End Tbl $178 L-23 Chrome Barstool $172 P-1 6' Maple Conf. Table $351B-3 Tan Suede Chair $270 I-9 Wht/Chrome Glove Chair $282 L-24 White Anaheim Chair $144 P-2 8' Maple Conf. Table $445B-4 Natural Ckt Table $178 I-10 White Da Vinci Sofa $475 M-1 Blue/Black Chair $144 P-3 6' Mahogany Conf. Table $351B-5 Natural End Table $161 J-1 Black Dynamic Chair $144 M-2 Blue/Black Barstool $172 P-4 8' Mahogany Conf. Table $445C-1 Black Leather Sofa $425 J-2 Green Dynamic Chair $144 M-3 Red/Black Chair $144 P-5 10' Mahogany Conf. Tbl. $569C-2 Black Leather Loveseat $385 J-3 Orange Dynamic Chair $144 M-4 Red/Black Barstool $172 P-6 6' Honey Oak Conf. Table $351C-3 Black Leather Chair $270 J-4 White Dynamic Chair $144 M-4B Black/Black Barstool $172 P-6C 8' Honey Oak Conf. Table $445D-4 Black Cube Ckt Table $184 J-10 White Storage Cube $109 M-5 30" Wht/Chrome Tall Tbl. $175 P-7 6' Black Conf. Table $333D-5 Black Round Ckt Table $184 J-11 Black Leather Ottoman $109 M-5J 30" Wht/Chrm Tall Tbl w/Outlet $209 P-8 8' Black Conf. Table $445D-6 Black Cube End Table $167 J-12 Black Cube $109 M-5R Rustic Square Tall Table $175 P-9 10' Black Conf. Table $569E-1 White South Beach Sofa $512 J-13 Orange Cube $109 M-5S White Square Tall Table $175 P-10 6' Grey Conf. Table $333E-2 White South Beach Chair $328 J-14 White Cube $109 M-6 White Curve Barstool $184 P-11 8' Grey Conf. Table $445E-3 White SouthBeach Bench $241 J-15 Red Cube $109 M-7 White Gelato Table $225 P-13 White Frosted Glass Table $350E-4 Red South Beach Sofa $512 J-16 White Swivel Ottoman $109 M-8 Grey Gelato Table $225 P-14 42" Dia. Honey Oak Table $241E-5 Red South Beach Chair $328 J-17 Orange Swivel Ottoman $109 M-9 Black Gelato Table $225 P-15 42" Dia. Mahogany Table $241E-6 Red SouthBeach Bench $241 J-18 Black Swivel Ottoman $109 M-10 Red Scoop $172 P-16 6.5' White Conf. Table $545E-7 White Square Ckt Table $172 J-19 Rustic Bench $241 M-11 Grey Scoop $172 P-18 8' Oak Rustic Table $545E-8 White Rec. Ckt. Table $172 J-20 Black Work Station $375 M-12 Black Scoop $172 P-19 Black Power Grommet $40E-9 White End Table $161 J-21 White Work Station $375 M-13 White Scoop $172 Q-1 Leather Executive Chair $225E-10 White Cube End Table $225 K-1 24" Black Table $132 M-14 White Crescent Stool $184 Q-3 Wht/Leather Exec Chair $276E-10C Charger Cable $30 K-2 30" Black Table $132 M-15 Gunmetal Barstool $172 Q-4 Blk/Leather Exec Chair $276E-11 White Sofa w/Outlet $595 K-3 36" Black Table $150 M-16 Gunmetal Chair $144 Q-5 Blk. Jr. Executive Chair $190E-12 White Loveseat w/Outlet $495 K-4 42" Black Table $178 N-1 12X12X30 Black Ped $172 Q-6 Grey Jr. Executive Chair $190E-13 White Chair w/Outlet $395 K-5 Black Euro Chair $120 N-2 12x12x36 Black Ped $184 Q-7 Black Sled Chair $161E-14 White/Chrome Pub Table $375 K-6 Jet Black Chair $120 N-3 12x12x42 Black Ped $195 Q-8 Grey Sled Chair $161E-14C Power Grommet $75 K-7 24" Black Tall Bar Table $172 N-4 12x12x30 Grey Ped $172 Q-9 Blk/Chrome Breuer Chair $144E-14L Under Lighting $50 K-8 30" Black Tall Bar Table $172 N-5 12x12x36 Grey Ped $184 Q-10 Grey/Chrome Breuer Chair $144E-15 Wht/Chrm Work Station $350 K-9 36" Black Tall Bar Table $184 N-6 12x12x42 Grey Ped $195 Q-11 Black Drafting Stool $172F-1 Barcelona Chair Red $362 K-10 Black Barstool $150 N-7 18x18x36 Black Ped $207 Q-12 Grey Drafting Stool $172F-2 Barcelona Ottoman Red $184 K-11 Jet Black Barstool $172 N-8 18x18x42 Black Ped $218 Q-13 Black Secretarial Chair $144F-3 Barcelona Chair White $362 K-12 Mocha Stage Chair $161 N-9 18x18x36 Grey Ped $207 Q-14 Grey Secretarial Chair $144F-4 Barcelona Ottoman White $184 L-1 30" Maple Table $150 N-10 18x18x42 Grey Ped $218 R-1 Black Etagere $184F-5 Barcelona Chair Black $362 L-2 36" Maple Table $161 N-11 24x24x42 Black Ped $230 R-2 Chrome Etagere $184F-6 Barcelona Ottoman Black $184 L-3 Maple/Chrome Chair $144 N-12 24x24x42 Grey Ped $230 R-3 42" Grey Bookcase $150F-7 Black Stage Chair $185 L-4 30" Maple Tall Bar Tbl $178 N-13 24x24x42 Black w/Door $316 R-4 42" Black Bookcase $150F-8 Burgundy Stage Chair $185 L-5 36" Maple Tall Bar Tbl $184 N-14 24x24x42 White w/Door $316 R-5 72" Grey Bookcase $172F-9 White Stage Chair $185 L-6 Maple/Chrome Barstool $172 N-15 18x18x36 White Ped $207 R-6 72" Black Bookcase $172G-1 Red Melrose Sofa $512 L-7 30" Black/Chrome Table $138 N-16 18x18x42 White Ped $218 R-7 2-Dr Grey File Cabinet $150G-2 Red Melrose Chair $328 L-7S White Square Table $138 O-1 Martini Bar $875 R-8 2-Dr Black File Cabinet $150G-3 Red Melrose Bench $241 L-7R Rustic Table $138 O-2 Martini Bar (w/Light Kit) $975 R-9 4-Dr Black File Cabinet $165G-4 LED Glow Cube $185 L-7W 30"White/Chrome Table $138 O-3 Cosmopolitan Bar $857 R-10 42" Grey Storage Cabinet $165G-5 LED Glow Twist Cube $195 L-8 36" Black/Chrome Table $155 O-4 Cosmo Bar (w/Light Kit) $975 R-11 42" Black Storage Cabinet $165G-6 LED Fluted Bar Table $245 L-9B Black/Chrome Chair $144 O-5 Reception Counter $236 R-12 72" Black Storage Cabinet $195G-7 LED Glow Pedestal $235 L-9R Red/Chrome Chair $144 O-6 Black Rec. Counter $385 S-1 Natural/Black Desk $405G-9 LED Glow Curve Bar $975 L-9W White/Chrome Chair $144 O-7 Grey Rec. Counter $385 S-2 Natural/Black Credenza $360G-10 LED Glow Straight Bar $875 L-10 30" Blk/Chrome Tall Tbl $178 O-10 Parson Desk $225 S-3 Honey Executive Desk $405H-1 Black Sectional Loveseat $448 L-11 36" Blk/Chrome Tall Tbl $184 O-11 Refrigerator $201 S-4 Honey Credenza $360H-2 Black Sectional Corner $328 L-12B Black/Chrome Barstool $172 O-12 Coat Rack $115 S-5 Mahogany Desk $405

S-6 Mahogany Credenza $360

Email: [email protected]

Please fax order to: 407.648.2542

3438 Maggie Blvd. * Orlando FL 32811 * Phone 407.648.7474 * Email: [email protected]

�� Tradeshow & Event Furnishings

�� Tradeshow & Event Furnishings 3438 Maggie Blvd. Orlando, FL 32811 Ph: 407-648-7474

Company Information Delivery Information

Company Name: ___________________________________________ Event:

_________________________________________________ Location:

Address: ________________________________________________ Booth #:

_________________________________________________ Open Date:

Phone: ________________________ Fax: ______________________ Close Date:

E-Mail: ___________________________________________________ Event Contact:

�� will send an email or fax confirmation of your order, once we receive and reserve the product for your show.

Item # Description Qty Price Total

Credit Card Information

TOTAL ORDER

Exp. Date:_______________ Security Code Zip Code_______ MISCELLANEOUS

Mastercard Visa AMEX Discover SUBTOTAL

TAX (Please Print)

TOTAL DUE

- Orders received within 14 days of event are subject to a 20% Late Fee.

- 25% cancellation will be applied if canceled 7 days prior to event opening

- Check or Credit Card must accompany order.

- 100% cancellation will be applied if canceled on day of deliver.

- All showsite orders are subject to a 25% service charge.

Please fax order to: 407.648.2542 Email: [email protected]

Cardholders Signature:_____________________________________

Credit Card #:_____________________________________________

Cardholders Name: ________________________________________

16th Annual Pain Medicine Meeting November 15-18, 2017

Disney’s Yacht ClubOrlando, FL

Company Information COMPANY CONTACT BOOTH #

ADDRESS 1 CITY ZIP CODE

ADDRESS 2 STATE COUNTRY

EMAIL PHONE ONSITE PHONE

Payment Information *Billing Zip Code Required

AMERICAN EXPRESS MASTERCARD VISA CHECK

CREDIT CARD # EXPIRATION DATE

NAME ON CARD *BILLING ZIP CODE

LEAD RETRIEVAL ORDER FORM � Order Online DISCOUNT DEADLINE: October 1, 2017

ExpoBadge Lead Retrieval Equipment Equipment descriptions on Page 2

DISCOUNT REGULAR QUANTITY TOTAL

Handheld Scanners: (Battery operated scanners; no electricity required)

ExpoBadge Panoptic $385 $400

ExpoBadge Panoptic with Printer $450 $475

Mobile Application:

ExpoBadge Lead Retrieval App (one license) $270 $285

Additional Licenses $150 $170

ExpoBadge Lead Retrieval App with Tablet $500 $525

ExpoBadge Extras:

ExpoBadge Live Literature Link $250 $275

Delivery, Setup, and Training $95 $100

Personalized Action Codes $80 $110 Additional Paper Roll $20 $30

USB Flash Drive $100 $125 Federal Tax ID # 20-8676699 Sub Total:

Processing Fee: $15.00

Grand Total:

Terms and Conditions: I have read and agreed to the following terms and conditions. All equipment ordered must be picked up at the service desk prior to the start of the show, unless you have ordered Delivery and Set-up. Failure to pick up equipment does not entitle you to a refund. All equipment must be returned to the service desk within 1 hour of show close to avoid additional $100.00 charge. A non-refundable charge of $2,500.00 will be applied for each piece of equipment not returned to ExpoBadge, Inc. at the close of show. There will be a $100.00 charge for the loss or damage of ExpoBadge data card. All cancellations must be submitted in writing 2 weeks prior to the start of the show; there are no refunds or cancellations after this time. There is a $75.00 fee for all cancellations prior to 2 weeks before show. There is no refund on paper or badge kits. ExpoBadge, Inc. will not be responsible for the type or amount of data provided by show management. Liability for damage of any cause whatsoever will be limited to the total price of goods and services provided by ExpoBadge, Inc.

WEBSITE: www.expobadge.com

� EMAIL ORDERS TO: [email protected]

� FAX ORDERS TO: 714-634-9016

� MAIL ORDERS TO: ExpoBadge, Inc.1150 E. Stanford Court Anaheim, CA 92805, USA

� FOR ASSISTANCE CALL: toll free 800-490-9941 +1-714-712-7380

0

0

000



ELECTRONIC LEADS DELIVERY: An email containing a link to your leads will be sent to the email address on file within 24 hours of the close of the show. Your leads will be available in multiple formats: Excel, .CSV, and .TXT

HANDHELD SCANNERS DETAILS LEADS FORMAT ExpoBadge Panoptic

The ExpoBadge Panoptic is a wireless, handheld, state-of-the-art scanning device (Android), that is the fastest scanner in the market. Uploads lead detail in real-time. Leads can be accessed anytime from ExpoBadge’s secure website. Includes an easy-to-use notes option for quickly recording notes specific to each lead. (Requires nightly charging.)

Electronic

ExpoBadge Panoptic with printer

The ExpoBadge Panoptic with printer is a printer with a scanner connected wirelessly. This allows you the flexibility for multiple sales people to capture leads in your booth. With all the features of the ExpoBadge Panoptic, you will receive a paper and electronic copy of your leads. (ExpoBadge Panoptic requires nightly charging.)

Paper and Electronic

MOBILE APP DETAILS LEADS FORMAT The ExpoBadge Lead Retrieval App is lead retrieval

made smart. *Scan, qualify, and survey attendees at events using smart phones or tablets (compatible with most Apple and Android devices). Works with or without an active internet connection or data plan; internet connectivity required for some features.

ExpoBadge Mobile App User Guide

Electronic

EXTRAS DETAILS

Live Literature Link Deliver and make available all your literature digitally! Target your marketing, leverage your collateral investment, and "Go Green" by uploading your promotional material onto the Live Literature Link. You may post up to 10 different pdfs. For further details, click on the link http://expobadge.com/expobadge/LLL.pdf

Delivery, Setup & Training ExpoBadge staff will deliver your order to your booth, set-up the devices and train all exhibit booth personnel. [There is no charge for pick-up at ExpoBadge lead retrieval service desk.]

USB Flash Drive Not compatible with Lead Print options Portable USB ver. 2.0 memory device. Leads will be downloaded to your Flash Drive upon return of equipment at the end of the show.



STANDARD ACTION CODES ExpoBadge offers each exhibitor a complimentary list of standard qualifiers. ADD TO MAILING LIST HOT LEAD! PRODUCT B SCHEDULE DEMONSTRATION CURRENT CUSTOMER INQUIRY ONLY PRODUCT C SEND LITERATURE DISTRIBUTOR INTERESTED BUYER PRODUCT D SEND PRICING INFO HAS PURCHASING AUTHORITY OEM PRODUCT E VAR HAVE SALES REP CALL PRODUCT A PRODUCT F WANTS PRESENTATION

PERSONALIZED ACTION CODES

For an additional fee, you can personalize your action codes in order to better qualify each lead. Enter personalized action codes using our online order form or complete the template below. Your codes will be ready with your equipment at our service desk. Maximum 35 characters per code. Custom Action Codes cannot include these characters: apostrophe ('), slash (/), backslash (\), period (.), carat (^), or quote (").

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Pricing is effective October 1, 2016 through September 20, 2017 and is subject to change

Equipment Request Form

Rental Items Rental Cost (per Day) Quantity Total Cost Chafing Dish (Includes 2 canned fuels) $50.00 per Each $ Canned Fuel (6 hour) $5.00 per Each $ Serving Tongs $3.00 per Each $ Serving Spoons $3.00 per Each $ Serving Tray $9.00 per Each $ Bus Tub $3.00 per Each $ Heat Lamp $35.00 per Each $ Hot Box, Large (Includes 5 sheet pans) $120.00 per Each $ Cold Box, Large (Includes 5 sheet pans) $120.00 per Each $ Rollable Tram Rental: Open & Closing Door Options Available (Includes 5 sheet pans)

$75.00 per Each $

Hotel Food Pans / Sheet Pans $5.00 per Each $ Hotel Bowls / Baskets $5.00 per Each $ Tablecloth (90x90) $20.00 per Each $ Linen Napkins $4.00 per Each $ Sani Wipes $15.00 per Each $ Culinary or Server Labor Charge *Please call Exhibitor Concierge for details

$115.00 per Hour $

Refrigeration or Freezer Space *Please call Exhibitor Concierge for details

$2.00 per Pound If Truck Needed, $1600.00/4 Days

$

Dumpster *Please call Exhibitor Concierge for details

$500.00 per Each $

TOTAL AMOUNT

$

Exhibitor Company Name: ________________________________________________________________________ Exhibitor Company Address: ______________________________________________________________________ Contact Person: ______________________________________ Email: __________________________________ Phone: ______________________________________________ Cell: ____________________________________ On-Site Contact Person: _______________________________ Cell: ____________________________________ Convention Name: ____________________________________ Booth #: ________________________________ WDW Resort: _________________________________________ Date & Time: ____________________________


Equipment Request Form

Disposable Plastic Wares Item Cost Quantity Total Cost 12 Oz. Clear Cup $22.00 / 100 per Case $ 6” Black Plate $30.00 / 125 per Case $ 9” Black Plate $67.00 / 125 per Case $ Plastic Bowls $106.00 / 500 per Case $ Black Plastic Utensils - Forks $67.00 / 1000 per Case $ Black Plastic Utensils - Spoons $67.00 / 1000 per Case $ Black Plastic Utensils - Knives $67.00 / 1000 per Case $ Beverage Napkins $6.50 / 250 per Box $ TOTAL

AMOUNT $

Method of Payment

Card Type: American Express ____ Visa ____ MasterCard ____ Discover ____

Card #: Exp. Date:

Cardholder Name:

PLEASE NOTE:

� All equipment not returned or returned in poor condition will be subject to replacement costs determined by the hotel at our sole discretion

� All equipment is subject to a 6.5% sales tax � Prices are subject to change without notice � If you do not see what you are looking for, please contact Disney’s Exhibitor Concierge at (407) 939-1717

to discuss

Please return this form and the method of payment to Disney’s Exhibitor Concierge via

fax at 407-939-1614


Food and Beverage Request Form

Booth Enhancements *Additional power needs may be required for Booth Enhancements*

Exhibitor Company Name: ________________________________________________________________________ Exhibitor Company Address: ______________________________________________________________________ Contact Person: ______________________________________ Email: __________________________________ Phone: ______________________________________________ Cell: ____________________________________ On-Site Contact Person: _______________________________ Cell: ____________________________________ Convention Name: ____________________________________ Booth #: ________________________________ WDW Resort: _________________________________________ Date & Time: ____________________________

Classic Popcorn Machine Includes Attendant

Freshly popped, buttered popcorn $8.00 per Guest (minimum order: 50 Guests)

Smoothie Machine Your choice of up to two flavors:

Mango, Strawberry, Banana, or Cappuccino Mocha $80.00 per Gallon (minimum order: 4 gallons)

Ice Cream Cart Includes Cooler

Assorted Ice Cream Novelties and Fruit Bars $5.75 per Each (minimum order: 50)

Warm Pretzel Station Includes Heat Lamp

Jumbo Soft Pretzels with Mustard $58.00 per Dozen (minimum order: 5 dozen)

A La Carte Options

Spring Water (5 Gallon Jug) Includes Dispenser $53.00 per Each Ice (20 lb.)

$20.00 per Bag Planters Salted Peanuts (1 oz. Bags)

$147.25 per Case of 100 Seasonal Whole Fruit $4.50 per Each

(minimum order: 50) Granola Bars or Yogurt

Covered Raisins $66.00 per Dozen Individually Wrapped

Chocolate Chip Cookies $75.00 per Case of 72 Individually Wrapped

Crisped Rice Treat Pops or Brownie Pops $58.00 per Dozen

Individually Wrapped Chocolate Dipped Mickey

Crisped Rice Treats $70.00 per Dozen

Assortment of Fun Size Candy Your Choice of:

Hershey’s, Snickers, M&Ms, Peanut M&Ms, Starlight Mints, Caramel Squares, or

Mini Reese’s Peanut Butter Cups $18.25 per Pound

(minimum order: 5 lbs) All Prices Subject to a 24% Service Charge and 6.5% Sales Tax

Prices are subject to change without notice


Method of Payment

Card Type: American Express ____ Visa ____ MasterCard ____ Discover ____

Card #: Exp. Date:

Cardholder Name:

Quantity: Item: Date: Set Time: Strike Time: _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________ _________ __________________________________ __________ ___________ ___________

Order Sheet

PLEASE NOTE: If you do not see what you are looking for, please contact Disney’s Exhibitor Concierge at (407) 939-1717 to discuss

Please return this form and the method of payment to Disney’s Exhibitor Concierge via

fax at 407-939-1614

ASRA 16 Annual Pain Medicine Meetingfiles.map-dynamics.com/1499778899_asra 2017pm decorator...ASRA...

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