Kitchen Order Form Refrigeration, Frozen Storage, Equipment & Kitchen Usage Program Name: 2014 DFA Trade Show Thu, Nov. 6, 2014 Date________________ Company: _______________________________Name:___________________________Address: ____________________________________ City,_____________________ State_____ Zip: __________ E-mail: ________________________________ Cell Phone: ________________ Authorized By: ___________________ On-Site Contact: ________________________Title: ________________Booth #: __________________ Kitchen order form and credit card authorization form must both be completed and emailed to [email protected] no later than October 20, 2014. Any orders received after this date, including on-site, will result in an additional $75.00 late fee. You will receive an email confirmation of your order. Order for Company Name: Service/Requirements Refrigeration/Frozen Storage Pallets/Boxes Kitchen Usage Number of Items Required 1/2 Pallet _____ Full Pallet _____ # hours ______ Rate Chafing Dish Rack of Glasses Serving Trays Plastic Plates Plastic Utensils Frill Tooth Picks Table Cloths Serving Utensils $50.00 each $150.00 each $150 / 2 hours (minimum) $75.00 per additional hour $200 / Chef (one-time fee) $75.00 (one-time fee) $150 / 2 hours (minimum) $20.00 ea additional hour $75.00 each per day $15.00 per rack $15.00 per rack $20.00 per 100 $15.00 per 100 $15.00 per box $10.00 per cloth $10.00 ea per day Beverage Napkins Ice (30lbs) $20.00 per 500 pack $25.00 Hotel Chefs Dishwasher (steward) # chefs ______ # hours ______ # items to wash ______ Food Runner # hours ______ Date of Use Scheduled Time Required Note: All Refrigerated/Frozen Items Must Be Scheduled To Arrive No Sooner than Thursday, Oct 30th. Refrigerated and frozen storage is available at a minimum rate of $50.00 for boxes up to 1/2 a pallet and $150.00 per full pallet. Each additional pallet will be charged at 50.00/pallet. Perishable items must be clearly noted on shipping labels at time of delivery. Note: Storage space is limited. Space will be guaranteed on a first come first-serve basis. All stored products must be removed at end of show. All orders are subjected to availability of resources. Please make your reservations early by completing and returning this form along with completed and signed credit card authorization form to [email protected]. Note: Order will not be confirmed without credit card authorization f Arizona Biltmore Credit Card Payment Authorization Form Please complete all areas below. Incomplete requests may be rejected. This form must be received at least 5 business days prior to the Check-In, or by specified date in Event Contract, to ensure acceptance of the credit card to be charged. Do not send completed form by email. FAX COMPLETED FORM TO: 602-381-7608 ATTN: Diana Wermes Please complete Guest Name / DFA Convention & Trade Show Check-In / Event Date: Name of Person/Group Making Reservation: Authorized Amount: Date: _____________________________ Phone: Date: Approval Code: CARDHOLDER - Please complete the following section and sign/date below. Cardholder Name as it Appears on Credit Card: Cardholder Billing Address: City: State: Zip: Daytime /Business Telephone: Evening Telephone: Credit Card Number: Expiration Date: Credit Card Type: (Circle one) American Express Discover JCB Diners Club Credit Card Issuing Bank Name: Bank Phone Number (from back of your credit card): I agree to cover the following categories of charges: (Please circle) Charges Room & Tax Food & Beverage Retail Visa/MasterCard Recreation All I agree to cover the above categories of charges up to a Maximum Amount of $ __________________ DIRECT BILL ACCOUNT PAYMENTS ONLY: Name on Invoice/Statement _______ ______ Date on Invoice/Statement Invoice/Statement Number _________________________ ______________ Authorized Amount $_______________________ Note: Charges for room and tax, group deposits or direct bill account payments will be charged to your credit card immediately. Any incidental charges circled above will be charged at the time of check-out. Amount to be immediately charged to credit card for room and taxes or deposit: $______________ Final Balance Billed to Credit Card (hotel use only): $_______________ By signing below, you authorize the hotel to charge your credit card immediately for the amount indicated above up to the “Maximum Amount” indicated above. You further acknowledge that if “all charges” has been selected, then all guest/group related charges (less Deposit) will be charged to the above card number at the time of check-out or event conclusion. Cardholder Signature: Date: