EXHIBITOR INTERNET AND PHONE ORDER FORM Event Name: HiNZ Conference Event Dates: 21-23 November 2018 Booth Number Company Name Contact Name: Postal Address: Phone: Mobile: E-mail: Order Number Payment will be invoiced by Venues Wellington to the individual company. INTERNET SERVICES REQUIRED Please Service Description No of Per Unit: Installation Per Unit: Each Amount Tick Units & 1st Day Subseq Day Phone Line $57.00 $11.00 $ Eftpos Line $57.00 $11.00 $ Broadband Internet $110.00 $52.00 $ Other $ Total $ PAYMENT METHOD Venues Wellington accepts payment by direct deposit, cheque or credit card –credit card transactions incur a processing fee. FOR CREDIT CARD PAYMENTS, A COPY OF THE CREDIT CARD FRONT AND BACK IS REQUIRED WITH THE CARD-HOLDERS SIGNATURE SHOWING. Visa Mastercard Amex (ID# ) Cardholder Name Card Number Exp Date Signature OR Cheque Number Payable to Venues Wellington Direct Debit: Funds should be deposited into the Venue Wellington account 06-0582-0106111-19, ANZ National Bank, 215-229 Lambton Quay, Wellington, New Zealand. Swift Code ANZ BNZ 22. Remittance advice may be sent to Credit card additional merchant charge fee – 1.6% for Visa or Mastercard & 2.6% for Diners /Amex Please complete all details and email to InfoVenues@wellingtonnz.com Services are not confirmed until full payment is received
EXHIBITOR INTERNET AND PHONE ORDER FORM Event Name: HiNZ Conference Event Dates: 21-23 November 2018 Booth Number Company Name Contact Name: Postal Address: Phone: Mobile: E-mail: Order Number Payment will be invoiced by Venues Wellington to the individual company. INTERNET SERVICES REQUIRED Please Tick Service Description No of Units Per Unit: Installation & 1st Day Per Unit: Each Subseq Day Amount Phone Line $57.00 $11.00 $ Eftpos Line $57.00 $11.00 $ Broadband Internet $110.00 $52.00 $ Other $ Total $ PAYMENT METHOD Venues Wellington accepts payment by direct deposit, cheque or credit card –credit card transactions incur a processing fee. FOR CREDIT CARD PAYMENTS, A COPY OF THE CREDIT CARD FRONT AND BACK IS REQUIRED WITH THE CARD-HOLDERS SIGNATURE SHOWING. Visa Mastercard Amex (ID# ) Cardholder Name Card Number Exp Date Signature OR Cheque Number Payable to Venues Wellington Direct Debit: Funds should be deposited into the Venue Wellington account 06-0582-0106111-19, ANZ National Bank, 215-229 Lambton Quay, Wellington, New Zealand. Swift Code ANZ BNZ 22. Remittance advice may be sent to Credit card additional merchant charge fee – 1.6% for Visa or Mastercard & 2.6% for Diners /Amex Please complete all details and email to InfoVenues@wellingtonnz.com Services are not confirmed until full payment is received
EXHIB_wired_internet_order_.docx