LED Order Form Rev

ShowLeads Mobile App
Easy to use mobile app for use with your smartphone or tablet
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ü
ü
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Customizable qualifiers (Additional fees apply)
Easily take notes & edit your leads
Record voice memos & take photos
Leads available in “Real Time”
ShowLeads Lite Scanner
Easy to use scanning device that fits in the palm of your hand
ü Rental device - Compact device that scans instantly
ü Does not require charging
ü Leads available within one business day after show ends
ShowLeads Premium Scanner
Easy to use mobile app provided with TRC’s smartphone & premium
scanning case
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Offers all of the features of the ShowLeads Mobile App
Rental device - TRC’s iPhone 5 in a scanning case
Requires charging - Charger provided
Bluetooth printer option available
800.922.8646
29 Emmons Drive, Suite F-10
Princeton, NJ 08540
www.trcbadgerite.com
World Congress of
Gastroenterology - ACG 2017
October 16 - 18, 2017
Orange County Convention Center
Orlando, Florida
Customer Info
Contact Name
Show Code: 22613
ORDER ONLINE: trcbadgerite.com/online-ordering/
Title
Phone
Email Invoice to:
Company Name
City
Street Address
Delivery Contact
State
Delivery Phone Number
Payment Info
Booth #
Zip
Country
Email Leads to: (if different than above)
Check (Payable in U.S. Funds to: TRC)
Card Number
Expiration Date
Visa
MC
AmEx
Cardholder Name
CVV Code
Credit Card Billing Address (if different than above):
Street Address
City
State
ShowLeads Products
Zip
Cardholder Signature
Advanced Rate
Thru 09/25/2017
Standard Rate
After 09/25/2017
ShowLeads Mobile App
First License:
$265
$315
For use with your own smartphone
Each Additional License:
$150
$150
$310
$375
$370
$445
A) Custom Surveys (for Mobile App and Premium Scanner only)
$ 85
$100
B) Bluetooth Printer (for Premium Scanner only – one printer per scanner)
$ 75
$ 95
C) Delivery to your booth (Optional)
$ 75
$ 75
D) Developer’s Kit / Data Reconciliation (dependent upon barcode type)
$500
$500
ShowLeads Lite Scanner
Quantity
Cost
Ext. Cost
Rental device - Handheld device
ShowLeads Premium Scanner
Rental device - TRC’s iPhone 5 & scanning case
Additional Services
For assistance, call us at 800-922-8646
Order Online or send your completed form via…
Email: [email protected]
or Mail: TRC
29 Emmons Drive, Suite F-10
Princeton, NJ 08540
Taxable Subtotal
Sales Tax 6.5%
Grand Total
Terms and Conditions
To ensure your order is processed, please submit your order online or sign and return this Authorized Order Form to TRC. Orders must be canceled at least one week prior to the event to
avoid a cancellation fee. The cancellation fee is 50% of the total charge for orders canceled five to seven days prior to the event and 100% of the total charge for orders canceled less than five
days prior to the event. Delivery charges apply to all cancellations. The Grand Total amount (identified above) will be processed at the time the order is placed. Once exhibitor is in possession
of scanner(s), the exhibitor is responsible for 100% of the value of lost and/or damaged equipment. * My signature authorizes TRC to charge my credit card account (identified above) for: the
total rental amount (identified above), any applicable cancellation fees, and any other amounts due to TRC. Further, I hereby authorize TRC to charge my credit card account (identified above)
for the repair or replacement cost of any lost and/or damaged equipment. All equipment must be picked up from the TRC Service Desk unless the Delivery to your Booth option is chosen.
Delivered equipment must be returned to the TRC Service Desk by the exhibitor at the end of the event. Your order will be confirmed via email.
Please provide an accurate email address above. *Please make sure you receive a confirmation to ensure your order was placed for the event.
Custom Survey Form
Fees Apply - See “Additional Services” on page 2
Company Name _______________________
Phone ____________________
Guidelines
1. You can have up to four questions per screen (page).
2. Questions may be asked & answered using three possible formats. (See illustrations below.)
3. Single- & Multiple-Answer questions may have a maximum of six possible answers.
Single-Answer
Multiple-Answer
Freeform Answer
Choose Question Type
Question 1
Single-Answer
Multiple-Answer
Freeform Answer
Type Question
100 characters maximum
Answer 1:
40 characters maximum
Answer 2:
40 characters maximum
Answer 3:
40 characters maximum
Answer 4:
40 characters maximum
Answer 5:
40 characters maximum
Answer 6:
40 characters maximum
Page 3
Custom Survey Form
Question 2
Single-Answer
Multiple-Answer
Freeform Answer
Type Question
100 characters maximum
40 characters maximum
Answer 1:
Answer 2:
40 characters maximum
Answer 3:
40 characters maximum
Answer 4:
40 characters maximum
Answer 5:
40 characters maximum
Answer 6:
40 characters maximum
Question 3
Single-Answer
Multiple-Answer
Freeform Answer
Type Question
100 characters maximum
Answer 1:
40 characters maximum
Answer 2:
40 characters maximum
Answer 3:
40 characters maximum
Answer 4:
40 characters maximum
Answer 5:
40 characters maximum
Answer 6:
40 characters maximum
Question 4
Single-Answer
Multiple-Answer
Freeform Answer
Type Question
100 characters maximum
Answer 1:
40 characters maximum
Answer 2:
40 characters maximum
Answer 3:
40 characters maximum
Answer 4:
40 characters maximum
Answer 5:
40 characters maximum
Answer 6:
40 characters maximum
Page 4