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Company Name Tel # Booth Number Billing Address Email City / State / Zip Signature Discount Price Deadline Date July 3rd Method of payment must accompany your order GPX Portland 2023 Oregon Convention Center Portland, OR July 19-20, 2023 AGS Expo Services • 4561 SW 34th Street • Orlando, FL 32811 Phone: 407.292.0025 • Fax: 407.292.4414 15 15 AGS 01/11/13 - 001 Email: eventservices@ags-expo.com eventservices@ags-expo.com Order Online: www.ags-expo.com www.ags-expo.com AGS 01/11/13 - 001 AGS 01/11/13 - 001 METHOD OF PAYMENT FORM Full payment must accompany order. PLEASE, NO TELEPHONE ORDERS. Credit Card Authorization MUST be on file with AGS Expo Services before any goods or services are rendered regardless of your preferred method of payment. By utilizing this form, exhibitors acknowledge that they have read and agree to comply with the terms of the Limits of Liability statements contained herein. Full payment must accompany order. PLEASE, NO TELEPHONE ORDERS. Credit Card Authorization MUST be on file with AGS Expo Services before any goods or services are rendered regardless of your preferred method of payment. By utilizing this form, exhibitors acknowledge that they have read and agree to comply with the terms of the Limits of Liability statements contained herein. All exhibitors are required to have a credit card on file as a primary method of payment. Credit Card Authorization Form For your convenience, we will use this authorization to charge your credit card account for your advance orders and any additional amounts incurred as a result of show site orders placed by your representative. For Third-Party pay- ers please use "Third Party Billing Agreement" form. Please complete the information requested below: Personal Company Visa Master Card American Express Account Option (please select one) Keep this Method of Payment on file for future events OR Use for this event only • By providing your signature, you hereby accept all the terms and conditions contained in this Service Manual. Company Check • Please make all checks payable to: AGS Exposition Services, Inc. • All checks must be in U.S. currency. Check Number: • Please print show name and booth number. • Company checks must be received 14 days prior to exhibitor Amount Due: move-in to provide adequate time for processing • Orders are processed and appropriate discounts (if any) are applied on the date that your payment is received. A copy of your check by email, fax, etc. is not considered payment. • Credit Card Authorization MUST be on file with AGS Expo Services before any goods or services are rendered regardless of your preferred method of payment. Wire Transfers If you wish to make a payment via Wire Transfer, please call 407-292-0025, or email us at eventservices@ags-expo.com, to obtain bank information and routing identifiers. Card#: Exp. Date: Card Holder Name (Print): Signature: Credit Card Billing Address: City: State: Zip: