Portland '23

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Third-Party Billing Agreement Third-Party Exhibiting Firm 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 16 16 AGS 01/11/13 - 001 AGS Expo Services • 4561 SW 34th Street • Orlando, FL 32811 Phone: 407.292.0025 • Fax: 407.292.4414 Email: Order Online: AGS 01/11/13 - 001 AGS 01/11/13 - 001 AGS 01/11/13 - 001 AGS 01/11/13 - 001 THIRD-PARTY BILLING AGREEMENT As an exhibitor electing to use a third-party for my billable services, I understand and hereby agree that the ultimate responsi- bility for payment of all charges is mine. Further, I agree to be bound by all terms and conditions outlined in the Payment Terms and Conditions within this Exhibitor Service Manual. In the event that the named third-party fails to meet the required payment terms, charges will revert back to me, the exhibiting company. All invoices are due and payable upon receipt, by either party. The following items are to be charged to the Third-Party: All Services OR Furniture/Carpet Material Handling Booth Cleaning Labor Credit Card Number: Exp. Date: Card Holder Name (Print): Signature: Credit Card Billing Address: City: State: Zip: Payment in full must accompany your order. Please note, we will use this authorization to charge your credit/debit card account for all orders noted above, at anytime, including those placed onsite by your representative. These charges may include all services provided by AGS Expo Services including but not limited to material handling, labor, and product orders. For tax-exempt status, within the state of the event, please submit a tax- exempt certificate. We gladly accept VISA, MasterCard and American Express. Third-Party Credit Card Information: Third-Party Company Name: Contact Name: Phone: Email: Address: City: State: Zip: Third-Party Payer Signature (Required): Exhibitor Company Name: Booth #: Exhibitor Contact Name: Phone: Email: Address: City: State: Zip: Exhibitor Signature (Required):

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