Canadian Neurological Sciences Federation 2014 | Seite 35

AUDIO VISUAL EXHIBITOR ORDER FORM th Canadian Neurological Sciences Federation 49 Annual Exhibit Exhibiting Company: Booth #: Payment Information Company Name: Street/PO Box: City: Prov/State: Phone: Postal/Zip: Fax: Ordered by: Email Address: Credit Card Number: Expiry Date: Security Code: Name as it appears on Card: Signature of Cardholder: BY EVIDENCE OF MY SIGNATURE AS SIGNED ABOVE, I DO HEREBY AUTHORIZE THE AMOUNT STATED TO BE CHARGED TO MY CREDIT CARD NUMBER AS NOTED ABOVE. Comments / Instructions Email order form to: info@clarksav.com Fax order form to: +1 604 879 2993 ONCE YOUR ORDER HAS BEEN PROCESSED, CONFIRMATION WILL BE EMAILED TO YOU LIMITATIONS OF LIABILITY Clark’s Audio Visual Services guarantees the proper operation of all equipment at the time of release to the lessee. It is agreed that the lessee understands how to operate the equipment. If there are any equipment failures they must be reported immediately and will be considered for any price adjustment. Equipment must not be tampered with in any way (including minor repairs). Clark’s Audio Visual Services will not be liable for any injuries, including death, resulting from issue of, or tampering with said rental equipment. Nor will Clark’s Audio Visual Services be liable for costs incurred due to equipment failure that may lead to delayed, reduced, or cancelled events. EQUIPMENT RENTAL & SECURITY It is understood that the equipment is to be used only by the lessee and used within the stated period. The lessee shall be liable for all lost, damaged, or stolen equipment. It is the lessee’s responsibility toe secure all equipment at all times. ADDITONAL EXCLUSIONS Additional requirements may be required and are not included with the equipment rental. These may include, but not limited to, electrical connection fees, audio patch fees, motorized man lifts, generators, union labour, etc. which is the responsibility of the customer and will be quoted and invoiced directly to the customer by the facility. CANCELLATION Cancellations made with less than 48 hours notice, shall remain due for the full value of the rental. Rental deposits shall be non-refundable with less than 72 hours notice. Clark’s Audio Visual Services Ltd. 1615 Venables Street, Vancouver, BC, Canada V5L 2H1 Phone: +1.604.877.8558 Fax: +1.604.879.2993 Email: info@clarksav.com Website: www.clarksav.com Page 2 of 2 24 Hour Service Toll Free North America Phone: +1.800.667.1819 Fax: +1.800.665.2932