[PDF] CREDIT CARD AUTHORIZATION FORM - Free Download PDF (2024)

CREDIT CARD AUTHORIZATION FORM Fax or Mail to: Gaylord National Resort & Convention Center Attn: Exhibit Service Department 201 Waterfront Street National Harbor Md. 20745 Office: (301)-965-3710 Fax: (301)-965-3797 Email to: [emailprotected] ADVANCE PRICE DEADLINE - Date Event Name:

Event Dates:

Company Name:

Booth Number:

Contact Name:

Contact Number:

I, __________________________________, the undersigned agree to give Gaylord National Resort and Convention Center authorization to charge for the following services: Telecommunications, Long Distance Services, Electrical Service (labor and materials), Compressed Air, Water and Drain, Rigging and Security Services to my credit card. Payment is accepted through exhibit services in the form of VISA, MASTERCARD, AMERICAN EXPRESS, DISCOVER, DINERS CLUB and Money Order (U.S. funds drawn on U.S. banks only). Maryland State Sales Tax (6%) will be applied to all equipment & service orders. Checks and cash are not accepted. All credit card payments should include a copy of the front and back of credit card. I further authorize the following named person(s) to use the below listed credit card to pay of any additional services either in advance or onsite. Print Name:

Signature:

_______________________________________________

________________________________________________

_______________________________________________

________________________________________________

_______________________________________________

________________________________________________

_______________________________________________

________________________________________________

Credit Card:

Visa

MasterCard

American Express

Credit Card: *

Expiration Date:

Name of Cardholder (Print) Cardholder’s Signature: Billing Address: City: Telephone No.: Email Address:

Discover

State/Zip: Fax No.:

Diners Club

ELECTRICAL/UTILITY SERVICES Fax or Mail to: Gaylord National Resort & Convention Center Attn: Exhibit Service Department 201 Waterfront Street National Harbor Md. 20745 Office: (301)-965-3710 Fax: (301)-965-3797 Email to: [emailprotected] ADVANCE PRICE DEADLINE - Date Event Name:

Event Dates:

Company Name:

Booth Number:

Contact Name:

Contact Number:

Ordering Instructions 1.

Fill out this form completely, including the Credit Card Authorization Form, and mail or fax to the above address. Checks and cash are not accepted. All credit card payments should include a copy of the front and back of credit card.

2.

Mail a layout of your booth to Gaylord National Resort and Convention Center Exhibit Services. Please mark where your connections should be dropped and located. Include booth orientation to the show hall. Charges may apply for changes made after order is processed and changes made within 14 days of show will bear Standard Price. All equipment and services are subject to a 6% sales tax.

3.

VOLTAGE

MAXIMUM CIRCUIT WATTS AMPS

PHASE

ADVANCE PRICE

STANDARD PRICE

QTY

AMOUNT

120

500

4

Single

$95.00

$130.00

$

120

1,000

8

Single

$125.00

$160.00

$

120

2,000

20

Single

$180.00

$200.00

$

*208

3,300

20

Single

$225.00

$300.00

$

*208

5,700

20

Three

$375.00

$465.00

$

*208

5,000

30

Single

$380.00

$460.00

$

*208

8,600

30

Three

$550.00

$655.00

$

*208

9,900

60

Single

$685.00

$840.00

$

*208

17,000

60

Three

$1100.00

$1300.00

$

*208

16,600

100

Single

$850.00

$1050.00

$

*208

28,800

100

Three

$1500.00

$1800.00

$

*208

57,600

200

Three

$3000.00

$3700.00

$

*208

115,200

400

Three

$4850.00

$6075.00

$

$250.00

$300.00

$

$250.00

$300.00

$

Drainage (Available depending on location of exhibit.

Labor is included, UNLESS A PUMP IS REQUIRED ( Not available in Ballrooms)

$150.00

$200.00

$

One time fill and drain. Maxium of 50 gallons

$250.00

$300.00

Cable Television (Labor included)

$225.00

$250.00

$

$25.00

$

Compressed Air: Hotel supplies 3/4",1/2",1/4" quick release female connection. (Labor included.) 80-100 PSI 125 CFM

Water:

Per hook-up. Labor included. ( Not available in Ballrooms)

1 Outlet Extension-cord

NOTE: Labor and materials will be billed at the end of the show.

Office Use Only ELO:

__________________________

AUTH: _________________________

Charges: Labor (post show) Subtotal: 6% Tax: TOTAL:

$ $ $ $ $

ELECTRICAL LABOR Island, Peninsula and In-line booths requiring power to be installed other than the back of the booth will be charged time and materials. Please include a scaled floor plan showing the requested location of electrical source. Labor and materials will be charged to the credit card on file. The Hotel will charge time and materials for exhibitor-installed cords requiring troubleshooting and/or redistribution in the booth. LABOR RATES: 8:00a.m. to 5:00p.m. 5:00p.m. to 7:59a.m.

$85.00 $160.00

Labor will be billed at one hour increments and will be billed the end of the show. SCALED FLOOR PLANS A scaled floor plan must accompany orders showing requested location of electrical source. If a drawing is not provided, Gaylord National Resort & Convention Center will install the service in the most convenient location and charges will apply for relocation. Each outlet is considered one actual plug in. Prices are per outlet, or combination of outlets with electrical load not to exceed watt and/or ampere rating indicated. For your convenience, the Gaylord National Resort & Convention Center will staff a service desk during exhibitor set-up.

ELECTRICAL CONNECTIONS Rates quoted for electrical connections cover only the delivery of services to the booth in the most convenient manner. Rates do not include connecting or running electrical inside the booth area. All electrical to be installed will be on the floor in the back of the booth for in-line booths. Power for island booths will come from the ceiling or floor, in the most convenient manner.

ANTENNA/COAX RUNS Any cabling runs anywhere in the hotel or convention center will be done exclusively by the in house Gaylord National Electrical Department at a time and material cost. Please contact the Exhibit Department with exact needs.

**WATER AND DRAINAGE Water – Hotel supplies ½” male threaded hose connector. Exhibitor is responsible for bringing connector to adapt Drainage – Depending on location of exhibit, a pump may be required at an additional cost.

EQUIPMENT All equipment must be properly tagged or marked with complete information as the type and/or amount of current, voltage, phase, frequency, horsepower, etc. required. All material and equipment provided by Gaylord National Resort & Convention Center shall remain the property of the hotel and shall be removed only by the hotel at the close of the show. The hotel reserves the right to refuse connection to any exhibitor whose equipment is deemed unsafe by the hotel’s electrical department. The use of open clip sockets, latex, or lamp cord wire, unapproved multiplex attachment plugs is not permitted. Permanent building electrical outlets are not part of the booth space and may not be used as part of the exhibitor’s electrical order. All exhibitors’ 120-volt cords must be of the 12 gauge, 3 wire, grounded type and UL listed.

INFORMATION TECHNOLOGY TERMS CONDITIONS & REGULATIONS Fax or Mail to: Gaylord National Resort & Convention Center Attn: Telecommunication Department 201 Waterfront Street National Harbor Md. 20745 Office: (301)-965-2502 Fax: (301)-965-2598 Email to: [emailprotected]

Gaylord National Resort and Convention Center Information Technology Terms, Conditions and Regulations

GENERAL:

Installation of telephone, telecommunications, network and cabling services within the Gaylord National Resort and Convention Center is exclusive. Telecommunication services (voice and data) are to be ordered by each exhibitor separately and are not to be shared with other exhibitors. Routine audits are preformed to ensure adherence.

All prices are for rental of services only. Material and equipment furnished by the Gaylord National Resort and Convention Center for telecommunication services shall remain the property of the Gaylord National Resort and Convention Center's unless otherwise specified, and shall be returned to the Gaylord National Resort and Convention Center's Exhibitor Service desk at the close of show. There will be a $250.00 charge for lost or damaged telephone sets and a $250.00 charge for lost or damaged network equipment. The Gaylord National Resort and Convention Center is not responsible for lost or damaged equipment while in the exhibitor's possession.

Under no circ*mstances shall anyone other than the Gaylord National Resort and Convention Center's Information Technology technicians make any special wiring within the resort property. Only the Gaylord National Resort and Convention Center's Information Technology technicians are authorized to modify system wiring or cabling. Any wiring or cabling damage costs (plus administration fees) will be billed to the exhibiting firm name.

Delivery of all voice and data transmission lines ordered from an outside vendor will only be allowed to the second floor Data Center. All circuit installs must be coordinated with the Gaylord National Resort and Convention Center's Information Technology group at least 9 weeks in advance of show date.

All exhibitor telephone and network services will be disconnected on the last day of the event, sixty (60) minutes after the show's official closing time.

Rates quoted for all services include bringing the requested communication services to the booth in the most convenient manner and do not include special wiring, over-head drops and/or special placement of communication services, computer equipment or intranet working cabling. All island booths will require a scaled diagram with orientation. Additional labor and materials will be charged for precise placement of communication services. Additional labor charges will be required for relocating service after installation. The Gaylord National Resort and Convention Center will not be responsible for any cutting or altering of any floor coverings in order to bring voice or data services to a booth.

Changes to original orders will require a service order to be signed by the exhibitor acknowledging receipt of service and any associated labor. Labor is charged in ½ hour increments (minimum charge is ½ hour). Labor rate is $100.00/hour (advanced -scheduled) and $175.00/hour (standard -- non-scheduled).

Notification of cancellation must be received in writing a minimum of five (5) days prior to the scheduled opening date. Credit will not be given for connections installed and not used. No credit will be given for service canceled less than forty-eight (48) business hours prior to the scheduled event opening. Disputes concerning services must be filed by the exhibitor with the Exhibitor Services Department prior to the close of show. The Gaylord National Resort and Convention Center will resolve disputes in a timely manner.

NETWORK | INTERNET | WIRELESS:

The network connections provided by Gaylord National Resort and Convention Center may be used only by the directors, officers and employees of the company; exhibitors, agents and consultants while performing service for the exhibiting company and cannot be resold or distributed to other companies. The services being provided by Gaylord National Resort and Convention Center will facilitate communications between the Gaylord National Resort and Convention Center's authorized users and the entities reachable through the Internet. Users of Gaylord National Resort and Convention Center services shall use reasonable efforts to promote efficient use of the network to minimize, and avoid if possible, unnecessary network traffic and interference with the work of other users of the interconnected networks. Users of Gaylord National Resort and Convention Center services shall not disrupt any of the Gaylord National Resort and Convention Center network or other associated networks as a whole or any equipment of system forming part of their systems, or any services provided over, or in connection with any of the Gaylord National Resort and Convention Center or other associated networks. Gaylord National Resort and Convention Center services shall not be used to transmit any communication where the meaning of the message, or it's transmit distribution, would violate any applicable law or regulation or would likely be highly offensive to the recipient or recipients thereof.

Gaylord National Resort and Convention Center reserves the right to troubleshoot with tools such as Sniffer Pro, FLUKE network analyzers, etc. Gaylord National Resort and Convention Center reserves the right to immediately disconnect network connections when activity such as denial of service attacks, port scans, or any other form of network performance degradation activities. After disconnection, isolation and quarantine assistance will be given.

All devices for which the Gaylord National Resort and Convention Center provides Internet or Networking connectivity shall be required to obtain a Gaylord National Resort and Convention Center assigned IP address. At no time, while connected to Gaylord National Resort and Convention Center network, will the customer use run their own DHCP server. Physical layer network audits are preformed to ensure adherence.

The Customer must provide the node equipment (personal computer, etc.) properly configured, as well as a standard Ethernet adapter card, rated for 10/100Mbps with an RJ-45 jack. The Customer is responsible for the proper configuration of computing machinery and software for Internet and Ethernet communications.

Wireless Specific (802.11a,b,g):

The Gaylord National Resort and Convention Center has deployed an 802.11a/b/g wireless management system in its meeting facility. This management system assists Gaylord National IT representatives with the delivery of flawless high speed internet access. The use of any unsecured wireless access point or any other device that broadcasts open internet access is strictly prohibited. At no time will an exhibitor or customer power up any wireless device not provided by Gaylord National Resort and Convention Center without prior authorization. If you plan on using any 802.11a/b/g wireless device, please contact the Gaylord National IT department at 407-586-0543 and provide your access point SSID and the total number of devices you plan on connecting to your access point. Failure to do so will result in automatic suppression of your access point rendering your wireless devices incapable of communications. Internet Performance Disclaimer: Gaylord National Resort and Convention Center does not guarantee the performance, routing, or throughput, either expressed or implied, of any data circuit connectivity with regards to the Internet and/or Internet backbones beyond any facility we service. The Gaylord National Resort and Convention Center is the exclusive supplier of Internet connectivity for all events within the facility. We are equipped with a DS3 (45mbps) dedicated Internet connection to a tier 1 provider, and can provide Internet and networking connectivity to any location on property. Internet Security Disclaimer: Gaylord National Resort and Convention Center does not provide security, such as but not limited to firewalls, NATing devices, virus protection, etc. for any Internet services we provide. It is the sole responsibility of the exhibitor or customer to provide all necessary security. With execution of this document the Customer is agreeing to the Terms and Conditions of this document and will hold Gaylord National Resort and Convention Center; its agents and contracts harmless for any and all liabilities arising from the use of non-secured data circuits.

NETWORK & TELECOMMUNICATION SERVICES Fax or Mail to: Gaylord National Resort & Convention Center Attn: Telecommunication Department 201 Waterfront Street National Harbor Md. 20745 Office: (301)-965-2502 Fax: (301)-965-2598 Email to: [emailprotected] ADVANCE PRICE DEADLINE - Date

Event Name: Company Name: Contact Name:

Event Dates: Booth Number: Contact Number:

Ordering Instructions 1. 2.

3.

Fill out this form completely, including the Credit Card Authorization Form, and mail or fax to the above address. Checks and cash are not accepted. All credit card payments should include a copy of the front and back of credit card. Mail a layout of your booth to Gaylord National Resort and Convention Center Exhibit Services. Please mark where your connections should be dropped and located. Include booth orientation to the show hall. Charges may apply for changes made after order is processed and changes made within 14 days of show will bear Standard Price All equipment and services are subject to a 6% sales tax.

NETWORK & TELECOMMUNICATIONS CONNECTIONS - Rates quoted for voice and data connections cover only the delivery of services to the booth in the most convenient manner. Rates do not include connecting or the routing of cables inside the booth area. All telecommunication services installed will be on the floor in the back of the booth for in-line booths. Telecommunications for island booths will come from the ceiling or floor, in the most convenient manner. Telephone Usage Rates: Local 9 + Number (There is no access charge for the first 20 minutes. A $.10 per minute charge will be billed beginning on the 21st minute.) Direct Long Distance (Gaylord National Resort’s Long Distance Carrier is AT&T) 9 + 1 + Area code + number - Gaylord National Resort long distance calls are billed at AT&T operator assisted day rates plus $2.25 access charge plus 65% surcharge. Toll-Free Calls 9 + 1 + Toll number (There is no access charge for toll-free calls (including 800 modems) under 20 minutes. A $.10 per minute charge will be billed beginning on the 21st minute.) Credit Cards To access carrier of choice for calling card calls: For Example: For AT&T: Dial 9 - 1010 - 2880, Wait for instructions. International 9 + 011 + Country code + City code + number - Gaylord National Resort international calls are billed at AT&T operator assisted day rates plus $4.50 access charge plus 65% surcharge. For Operator Assistance, Credit Card or Collect Calls Dial 9 + 0 and follow the automated instructions. Auto Collect, Operator Assisted and Calling Card calls will be billed through your local serving telephone company, or AT&T, or through Integretel, 2540 Fourtune Way, Vista, CA 92083. Directory Assistance Local/Long Distance 9 + 411 $1.00 access fee AT&T Operator 9 + 00 $1.00 access fee Applicable taxes will be added. *Rates subject to change. The first (20) minutes of all local, 800 number, credit card and third party billed calls are included in the $10.00 Resort Service fee. Each additional minute after the first (20) minutes will be billed at a rate of ten (10) cents per minute

QTY Wireless Internet Access Wireless Internet Access (1st device) Additional Wireless Device High-Speed Internet – 3Mb/s Access Speed High-Speed Internet Access Additional CAT 5 Connection Additional IP Address (Customer Switch or NAT) Static Public IP Address Dedicated Internet Access – Dedicated Private VLAN 1.5 Mb/sec 3.0 Mb/sec 6.0 Mb/sec 12 Mb/sec 24 Mb/sec Additional CAT 5 Connection Public IP Address (1st connection) Each additional address Infrastructure/Network Access Cat 3 dry pair Cat5e dry pair Fiber optic cable dry pair T1 Extension DS3 Extension VLAN Setup and Configuration Additional CAT 5 Connection Gig E Fiber Connection Telecommunication (Telephone) Services Standard DID telephone/fax/modem line House Telephone line ACD Group Configuration ISDN BRI service Lines of Feature (Voicemail/Security, Etc.) Standard Desk Telephone 16-Button Digital Telephone/Speaker/Display Poly-Com Conference Telephone Janus Boards/ in Room Advertising Exclusive Daily Use (per day) Exclusive/Dedicated Time (per hour) Rolling Commerical/Image In-Room TV - one Channel Business Roll (first day) Each additional day Labor - Troubleshooting / Move / Change

Office Use Only ELO:

__________________________

AUTH: __________________________

Advance Rate

Standard Rate

$800.00 $250.00

$1,100.00 $300.00

$1,300.00 $300.00 $250.00 $350.00

$1,500.00 $350.00 $300.00 $400.00

$6,000.00 $9,000.00 $13,000.00 $24,000.00 $45,000.00 $300.00 $50.00 $25.00

$7,500.00 $11,250.00 $16,250.00 $30,000.00 $56,250.00 $350.00 $75.00 $50.00

$350.00 $400.00 $1,000.00 $3,500.00 $9,000.00 $3,000.00 $300.00 $2,500.00

$450.00 $500.00 $1,200.00 $4,500.00 $12,000.00 $3,500.00 $350.00 $3,150.00

$325.00 $200.00 $750.00 $700.00 $50.00 $30.00 $250.00 $250.00

$350.00 $250.00 $950.00 $850.00 $65.00 $40.00 $350.00 $350.00

$2,500.00 $900.00 $500.00 $1,000.00 $850.00

$3,150.00 $1,000.00 $750.00 $1,050.00 $1,100.00

$100.00

$150.00

Charges: Subtotal: 6% Tax: TOTAL:

$ $ $ $

Total

BOOTH LAYOUT Fax or Mail to: Gaylord National Resort & Convention Center Attn: Exhibit Service Department 201 Waterfront Street National Harbor Md. 20745 Office: (301)-965-3710 Fax: (301)-965-3797 Email to: [emailprotected]

Event Name:

Event Dates:

Company Name:

Booth Number:

Contact Name:

Contact Number: Please indicate placement of Electrical/Utility and Telecommunication services ordered.

Adjacent Booth or Aisle Aisle #____________ #____________

BACK

RIGHT

Aisle #___________ ___________ Adjacent Booth or Ais le #

LEFT

Aisle #______________ #______________ Adjacent Booth or Aisle

FRONT

Adjacent Booth or Aisle Aisle #___________ #___________

NOTE: Island, Peninsula and In-line booths requiring power to be installed other than the back of the booth will be charged time and materials. Please include a scaled floor plan showing the requested location of electrical source. Labor and materials will be charged to the credit card on file.