EXHIBITOR UTILITY CHARGE FORM
ADVANCED RATE
M AIL TO:
DEADLINE 14 DAYS PRIOR TO EVENT
1201 Market Street
ORGANIZATION INFORMATION
Philadelphia, PA 19107
Attention: Engineering
Name of Convention:
For Questions call: (215) 625-6815
Name of Company:
Credit Card Auth Fax: (215) 625-6033
Address:
M ETHOD OF PAYM ENT
TODAY'S DATE : ______________________
Check # :
Charge to M aster Acct. # :
Charge to Room # :
SET UP DATE:
For payments via CREDIT CARD please complete the credit card authorization
Location:
form below and fax to our secure fax# 215-625-6033
Make Checks payable to: Philadelphia Marriott Dow ntow n
Print Name: __________________________________________________
Signature _________________________________
Phone # : Day _____________________________________________________
Night ____________________________________
email address : _____________________________________________________
Note: Marriott Corporation assumes no liability for any failure of electrical current, supply or output and makes no w arranties that the electrical sources
located at the Hotel are suitable for any particular purpose. It is the responsibility of the exh
RATES ARE FOR DURATION OF EVENT.
ITEM NAME
QUANTITY
ADVANCE
STANDARD
RATE
RATE
$115.00
$143.00
TOTAL
Basic 120 Volts Service
120V
(2000watts)
20 amps
208 Volts M otor & Distribution Service
208v Single phase
20 amps
$245.00
$295.00
30 amps
$295.00
$345.00
60 amps
$445.00
$525.00
100 amps
$600.00
$700.00
20 amps
$300.00
$350.00
30 amps
$350.00
$450.00
60 amps
$500.00
$550.00
100 amps
$750.00
$850.00
200 amps
$1,500.00
$1,600.00
400 amps
$2,400.00
$2,500.00
(Spider box ) or
208v Three phase
Other power call for availability and quote
Rentals
Extension cord 3 wire grounded
$15.00
Power strip
$15.00
Water & Drain or Air
Minor Installation
$200.00
ITEM NAME
1 DAY
Ladder
(User accepts all liability)
$53.00
2 OR MORE DAYS
$107.00
Man Lift
(User accepts all liability)
$321.00
$438.00
Scissor Lift
(User accepts all liability)
$358.45
$513.60
# OF DAYS
8% Tax
Sub Total
Engineering Labor Rates /Banner Hanging/Fire Watch
75per
Prices are subject to change without prior notice.
Non Taxable
Grand Total
All materials furnished by Marriott remain the property of Marriott.
The use of lamp cords, cube taps or similar devices are not permitted.
All extension cords must be 3 wire grounded 14 gauge.
Exhibitor is not permitted to use permanent wall or column electrical outlets.
The end user takes full responsibility and agrees to assume the replacement cost for any loss or damage of said equipment.
TOTAL
Credit Card Authorization Form for Utility
Charges
Dear Guest,
We are delighted that you have selected us to host your event. Please provide all the information requested below as a form of payment
for your event charges. Please note that your credit card will be charged 5 business days prior to the event. Please fax the completed
form to (215) 625-6033, Attention: Christina Lozada
Cardholder Information
Name as it appears on the credit card:
Card type:
Visa
Account type:
Individual (personal credit card)
Corporate
MC
Amex
Diners/CB
Discover
JCB
Company Name:
Credit Card Account
Number:
Exp. date:
Address:
(where statement is
mailed)
City, State and Zip:
Phone number:
Fax or alternate number:
Organization Information
Company Name:
Convention Name (if
applicable):
Phone Number:
Fax or alternate number:
Set up date:
Location:
Email:
I certify that all information is complete and accurate. I hereby authorize the Philadelphia Marriott Downtown to collect payment for
all authorized charges associated with this event by processing a charge to the credit card listed above. I certify that I am the
authorized signer of the credit card listed above.
Cardholder Name: (Printed)
Cardholder Signature:
Date:
For Hotel Use Only
Accounting Log
Hotel Representative Initials:__________Date Entered in system:_____________Account number:_____________