Canadian Neurological Sciences Federation 2014 | Page 33

Internet Order Form For Exhibits at The Fairmont Banff Springs Please fill in all blanks and return by fax to The Fairmont Banff Springs, Conference Services & Catering Department. Fax Number: 403-760-6050. Company Name: Address: Phone Number: Fax Number: Email Address: Name of Conference: Date of Exhibits: Booth Number: Location of Booth (if known): Number of Lines Required (max 3): On Site Contact: Credit Card Number for Payment: Name on Card: Expiry Date: HSIA Line (high speed internet – price per IP address) $30.00 + GST, per line, per day, to a maximum of 3 lines ** Computer must have an Ethernet card** All orders must be received by the hotel two weeks in advance of the event and cancellations made less than 72 hours prior to the event will be processed the full charge. Signature: Person signing must have authority to sign on behalf of the company noted above.