8521 Hanover Industrial Drive

Columbia, IL 62236
Phone: 618-504-1250
FAX: 877-220-0676
www.avsc.net

Display Equipment

Qty

SHOW RATE
Advanced

Days
Used

On Site

20" LCD Monitor

$100.00

$120.00

24" LCD Monitor

$150.00

$180.00

32" LCD Monitor

$200.00

$240.00

42" Plasma Monitor*** (delivery extra )

$300.00

$360.00

50" Plasma Monitor***(delivery extra)

$375.00

$450.00

LCD Projector (3200 Lumens)

$350.00

$420.00

$50.00

$60.00

$125.00

$150.00

DVD Player

Laptop Computer / PIV Windows / Office XP

Customer Information

Total

Firm Name:
Address:
City:
State:
Ordered by:
Telephone #:
Fax #:

Orders received less than 7 days prior to

event start will be subject to AVAILABILITY
and will be charged ON-SITE DAILY RATE

SHOW RATE

Audio Equipment

Days
Used

Qty
Advanced

On Site

Zip:

Ordering Instructions

Total

PC Audio

$20.00

$24.00

The total charge per item is determined by multiplying

4 Channel Mixer

$65.00

$78.00

the quantity by the daily rate by the number of days

$150.00

$180.00

to be used.

$25.00

$30.00

Wireless Microphone: Handheld or Lavalier (circle One)

Wired Mic - Handheld

PLEASE PROVIDE TAX EXEMPT FORM

Wired Mic - Lavalier

$35.00

$42.00

Powered Speaker w/stand (Large)

$85.00

$102.00

IF YOU ARE EXEMPT

$60.00

To guarantee equipment availability and advanced rate, this order

should reach us 14 days prior to delivery.

Powered Speaker w/stand (Small)

$50.00

Miscellaneous

SHOW RATE

Qty

Advanced
54" Rolling Cart w/Black Skirt

Days
Used

On Site

$50.00

$60.00

Wall Mount for Plasma Monitor

$100.00

$120.00

Floor Stand for Plasma Monitor

$200.00

$240.00

Projection Screen- Tripod - 4', 5' or 6' (circle one)

$50.00

CANCELLATIONS:

Total

A) Cancellation of equipment ordered must be

received 48 hours prior to delivery to avoid a
minimum one day charge.

B) If services have already been provided at the time

of cancellation, 100% of original charges will
be applied.

$60.00

Other

*Other equipment available - please call!

Rental Totals

NADE 2015
Delivery Information

PAYMENT IS DUE WHEN ORDER IS PLACED

1
2
3
4
5

EQUIPMENT TOTAL
SALES TAX (6.5% of line 1)
SUBTOTAL
Delivery & Pickup $50.00 (*** Items that require $100.00 Del & PU)
TOTAL DUE

Method of Payment

On-Site Contact:
Cell Phone #:
Booth #:

Room #

Delivery Date:

Time:

Pickup Date:

Time:

Please Check One

FAX TO AVSC for Processing

CardNumber:
_________________________________________ExpDate_____/_____CVV:_____

Visa

Cardholder'sName(asappearsoncard):

AmericanExpress
Mastercard

CardholdersSignature:

FAX:8772200676oremail:
angel@avsc.net

Check
Billing Address For Credit Card:

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