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NewLeads Show Order Form

Business Information		On-Site Contact Information
Name		On-Site Person
Title		On-Site Cell #
Company		Booth #
Address 1		At the close of the show, all of your leads will be uploaded to the internet. Login information to access them will then be sent to the email address below.
Address 2
City/Town
State/Prov	Postal Code	Email to
Country		Payment Information
Phone		Payment Type
Fax			You'll be taken to a secure payment page when this order is confirmed.
Email

Item	Quan	Price			Total
		Through Mar 20	Through Apr 21	On-Site
Keychain Memory Scanner - The Memory Scanner is a hands free 1-D barcode scanner that stores the barcode of each attendee visiting your booth. It’s an easy to use, portable, keychain-size scanner. Point and push the button on the Memory Scanner to scan the barcode on the attendee badge. The scanner holds 500 scans.		$200	$250	$300
				Total Due:
Terms: All orders cancelled on or before March 20 are subject to a $75 fee. All orders cancelled after March 20 are non-refundable. You must return your rentals to our service desk within one hour of the end of the exhibit hall close of show or pay an additional $75. Renter is responsible for all lost, damaged or stolen rentals and agrees to pay for replacement equipment at these prices: Keychain Memory Scanner: $500. Click this box to indicate agreement:
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