Omega Production Resource LLC Ω
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2016 Southern Sportsman Festival and Expo Electrical Order Form
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Indicates required field
Vendor Name
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Vendor Billing Address
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Line 1
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City
State
Zip Code
Country
Vendor Phone Number
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Vendor Email
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Booth Number
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Booth Location
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Inside
Outside
Unknown
Indoor Power
Pre-order Indoor cost is $65/ per each 15A 110V Circuit
Please specify how many 15A 110V Circuits you require
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1
2
3
Other
If Other Please Specify Below
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Do you require power other than a 110V 15A Circuit?
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Yes
No
If yes, please specify your needs below
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Outdoor Power
Pre-Order Outdoor cost is $100/ per each 15A 110V Circuit
Please specify how many 15A 110V Circuits you require
*
1
2
3
Other
If other please specify below
*
Do you require power other than a 110V 15A Circuit
*
Yes
No
If other please specify below
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Do you have any Questions or Comment?
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Customer will be billed upon hookup of electrical services, an estimate and confirmation will be sent upon receipt of this form.
Omega Production Resource LLC accepts cash, check, and all major credit cards.
Credit card payment is available on site.
Due to limitations upon available power, orders will be filled via a “first come, first serve” format.
Payment can be made on site, but this form must be confirmed by June 8, 2016 for Pre-Order Prices to apply.
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