WHEELCHAIR & SCOOTER RENTAL Event Name Event Date Name Address City, State, Zip Ordered By Phone Email Address receipts and order information will be emailed to this address
QUANTITY EVENT RATE TOTAL Advance* / Standard ELECTRIC MOBILITY SCOOTERS
Standard (250 lb max) Electric Scooter: per day ___________ $65.00 / $75.00 ____________ Deluxe (450 lb max) Electric Scooter: per day ___________ $90.00 / $100.00 ____________ Standard (250 lb max) Electric Scooter: per event ___________ $175.00 / $200.00 ____________ Deluxe (450 lb max) Electric Scooter: per event ___________ $200.00 / $225.00 ____________ Standard scooters are rated for use by persons up to 250 lbs. Deluxe scooters are rated for use by persons up to 450 lbs.
WHEELCHAIRS Standard (250 lb max) Wheelchair: per day ___________ $25.00 / $35.00 ____________ Deluxe (450 lb max) Wheelchair: per day ___________ $30.00 / $40.00 ____________ Standard (250 lb max) Wheelchair: per event ___________ $65.00 / $75.00 ____________ Deluxe (450 lb max) Wheelchair: per event ___________ $70.00 / $80.00 ____________ Standard wheelchairs are 18” to 20” wide and rated for use up to 250 lbs. Deluxe wheelchairs are 22” wide and rated up to 450 lbs. * Orders received 10 or more days before scheduled pickup are eligible for the advance rate.
Pickup Date & Time: Return Date & Time: OVERNIGHT OPTIONS - Check One: Option #1 - Store your scooter or wheelchair in the Business Center. We will secure the equipment and charge it for the night. Equipment must be dropped off before closing time each day. Option #2 - Keep your scooter or wheelchair with you for the duration of the rental. You will be responsible for securing and charging the equipment.
DELIVERY OPTIONS - Check One: Option #1 - Pick-up your rental at the Business Center Option #2 - Have the rental delivered to me. Delivery location must be inside the Salt Palace Convention Center. We cannot deliver rental equipment outside of the facility.
Delivery Location:
Delivery Date & Time:
A credit card is required to be on file for all equipment rentals. Visa, MasterCard, American Express, Disover Card accepted.
Credit Card Number: Expiration Date: CCV: Name: Signature:
I have read and agree to the terms and conditions as outlined on the reverse side of this form.
For more information, give us a call
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Submit this form to: 385-468-2172 (fax) or mail to: Salt Palace Convention Center, Attn: Business Center 100 S. West Temple, Salt Lake City, UT 84101 or order online at: saltpalace.com > OrderServices
Salt Palace Business Center 385-468-2228
TERMS & CONDITIONS This order form reflects services and pricing for the year 2018
GENERAL CONDITIONS & REGULATIONS
1. The Salt Palace Convention Center is the exclusive provider of all telephone, Internet and network services (wired and wireless) and Business Center sales within the facility. 2. Purchase and use of the Salt Palace Convention Center services is limited to exclusive use by ordering client, employees and guests. Resale or other unauthorized distribution these services is prohibited. 3. Rates are subject to change. 4. Quantities of some services are limited. Please order early to ensure availability. Orders will be filled on a first come, first served basis. 5. All services will be installed during designated event move-in. Installation will be finalized once the event floor is clear of freight and other obstacles. Services will be disconnected on the last day of the event, thirty minutes after the official closing time. 6. All prices are for rental of materials and equipment. Materials and equipment used in installation remain the property of the Salt Palace Convention Center. 7. Salt Palace Convention Center is not responsible for lost or damaged rental equipment. A replacement fee will be assessed on all equipment that is damaged or not returned. Equipment can be returned to the Security office or the Business Center at any time. 8. Under no circumstances shall anyone other than Salt Palace technicians do any special wiring in the convention center without prior written approval. Telecommunication services ordered by outside providers will be placed in the Facility Services Switch Room (MDF). These services will be extended to desired location by Salt Palace technicians. These services will be assessed co-location fees for service plus wiring and labor. 9. A drawing indicating line placement(s) is required to be submitted with all wired Internet, network, engineering and telephone orders. If we do not receive a drawing, our technicians will drop service in an area of the booth or room that they deem to be most convenient. There is a $75 fee to relocate a line once it has been placed. 10. Rates quoted for all services include bringing the requested communication services to the booth in the most convenient manner and do not include special wiring, over-head drops and/or special set-up or installation of communication equipment. Additional labor charges will be assessed when special services are required.
RATES & PAYMENTS
1. Payment for services must accompany all orders and be paid in full before service is installed. All payments are in US Dollars. 2. The discount rate available until 10 days prior to the first move-in day of the event. Orders must be complete and paid in full by that date in order to qualify. 3. Company checks are to be made payable to Salt Palace Convention Center. No personal checks accepted. 4. A notice to confirm will be emailed within (5) business days of receipt of the order. Copies of all charges will be emailed upon completion. 5. Disputes concerning service must be filed with the Facility Services Department prior to the close of the show. Disputes will be resolved by the Salt Palace in a timely manner. 6. Notification of cancellation must be received, in writing, a minimum of ten days prior to move-in. Cancellation received less than ten days prior, but before installation begins, will be assessed a 20% cancellation fee. 7. Credit will not be given once service has been installed. 8. Any changes to your order after it has been installed will be assessed a minimum charge of $75.00 per line.
EQUIPMENT RENTAL TERMS & CONDITIONS
1. Rental rates are based upon the hours, days or event duration stated therein. Rental charges shall commence when Salt Palace makes equipment available to lessee and end upon return of equipment to the location where it was originally made available to the lessee. No allowance shall be made for Saturdays, Sundays, or holidays or time when equipment is not in use while in lessee’s possession. 2. Lessee shall use the equipment in a careful and proper manner and shall comply with all laws, ordinances, and regulations relating to the possession, use, or maintenance of the equipment. When a limitation on use accompanies the identification and description of particular items of equipment, lessee shall use such items of equipment only for the stated use. 3. Lessee agrees that it will make no alterations in the equipment without obtaining prior written permission from the Salt Palace, SMG, and Salt Lake County. All additions to and improvements of the equipment of any kind shall immediately become the property of Salt Palace, SMG and Salt Lake County and subject to the terms of this lease. 4. On expiration of the rental term for any particular item of equipment, lessee agrees to deliver at its own expense the said items in good condition, ordinary wear and tear resulting from proper use thereof alone excepted, and free and clear of encumbrances, to the location at which it was obtained, or to such other location as Salt Palace may designate that does not increase the cost of delivery. NOTE: Equipment left at an unspecified location after expiration (i.e. anywhere unattended in the building or off Salt palace property) lessee will be charged for the time it takes to recover equipment, in daily rate increments. 5. Lessee accepts the equipment on an “as is” basis. Lessee acknowledges receipt of all equipment in working condition and declares that lessee fully understands its proper operation and use. Lessee acknowledges that he has examined said equipment and has received the same in a secure and operative condition, or if not, in a condition as noted by both parties herein. 6. Lessee hereby assumes all risks of loss of and damage to the equipment from any cause, and agrees to return it to the Salt Palace in as good of condition as when received, normal wear and tear excepted. No loss of or damage to the equipment shall impair any obligation of lessee under this agreement, and all such obligations shall continue in full force and effect until otherwise discharged. 7. In the event of loss of or damage to the equipment, lessee at the option of the Salt Palace shall: Replace the same in good repair; or Replace the same with like equipment in good repair, which equipment shall thereupon become the property of the Salt Palace, and subject to this lease; or Pay the Salt Palace therefore in cash the market value of the equipment. 8. Liability for injury, disability, and death of workmen and other persons caused by the operation, handling or transportation of the equipment during the rental period shall be assumed by lessee, and lessee shall indemnify Salt Palace, SMG, and Salt Lake County against all such liability.
EQUIPMENT DETAILS - PICKUP Basket: (Y / N)
Mirrors: (Y / N)
Headlight: (Y / N)
Charging Cable: (Y / N)
EQUIPMENT DETAILS - RETURN Basket: (Y / N)
Mirrors: (Y / N)
Headlight: (Y / N)
Charging Cable: (Y / N)
Equipment Condition: Equipment Condition:
note any scratches, missing parts and performance issues
note any scratches, missing parts and performance issues
Pick-up Date & Time:
Return Date & Time:
Equipment Released To (print name):
Equipment Released To (print name):
Equipment Released To (signature*):
Equipment Released To (signature*):
*signature acknowledges acceptance of rental terms and conditions (see order form)
Employee (initial):
*signature acknowledges acceptance of rental terms and conditions (see order form)
Employee (initial): Return Inspection & Cleaning (employee initials & date):
For more information, give us a call
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Salt Palace Business Center 385-468-2228
