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JW Marriott Tucson Starr Pass Resort & Spa
3800 West Starr Pass Blvd.
Tucson, AZ 85745
13th Annual DFA Allied Partners Forum
Monday, April 27th, 2015 – Friday, May 1st , 2015
Kitchen Order Form & Liability Release
Return Form via email to the following:
Heidi Hedberg- Vi l la
520.791.6111
heidi.hedberg@marriott.com
Event Manager
Program Name: 13th Annual DFA Allied Partners Forum
Company
Today’s Date:
Name:
City:
State:
Zip:
Authorized By:
Address:
E-mail:
On-Site Contact:
Billing Authorization:
Credit Card # (last four digits):
Exp. Date:
Title:
Cell Phone:
Card Holder's Name:
(Full payment is due with your order)
This form must be completed and received by the hotel 15 days prior to food sampling date. You will receive an email confirmation.
Company Name:
Chef Contact Name:
Cell Phone:
We are preparing:
We need to access to this kitchen equipment:
Service/Requirements
Number
Rate
Date of Use
Time Required
$100. 00 per day per vendor
Refrigeration/Frozen
Storage
Kitchen
Usage
Pallets/Boxes
Chafing Dish
# hours
$125.00/per hour
$75.00 each per day
Rack of Glasses
$ 15.00 per rack
Serving Trays
$ 15.00 per rack
Plastic Plates
$ 20.00 per 100
Plastic Utensils
$15.00 per 100
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JW Marriott Tucson Starr Pass Resort & Spa
3800 West Starr Pass Blvd.
Tucson, AZ 85745
13th Annual DFA Allied Partners Forum
Monday, April 27th, 2015 – Friday, May 1st , 2015
Frill Tooth Picks
$15.00 per box
Table Cloths
$10.00 per cloth
Serving Utensils
$10.00 ea per day
Beverage Napkins
Ice (30lbs)
$ 20.00 per 500 pack
$ 25.00
Other:
Other:
Total:
$
Note: All Refrigerated-Frozen Items Must Be Scheduled To Arrive No Sooner Than Four Days Prior To Event.
Refrigerated and frozen storage is available at a minimum rate of $100.00 per day. Space is limited and we will store
packages as best as possible determined on size and delivery day. 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. Please make sure that all packages are clearly labeled. Please make your reservations early by completing and
returning this form. All stored products must be removed at end of show. All orders are subjected to availability
of resources. Your signed ‘Release of Liability Form’ shown below must accompany this form.
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Shipping Information:
Name of Vendor On-site Contact
DFA Allied Partner Summit (Denny's)
JW Marriott Tucson Starr Pass Resort & Spa
3800 West Starr Pass Blvd.
Tucson, AZ 85745
Heidi Hedberg-Villa
520.791.6111
heidi.hedberg@marriott.com
Event Manager
Email your shipping-tracking numbers to kheath@destinationhotels.com and check with conference services for
your packages upon arrival.
Payment Method:
Expenses will be charged to supplier guest room (as noted above)
Expenses will be charged to credit card submitted (please fill out attached credit card authorization form)
Your signed Release of Liability Form must accompany your
order form.
Release of Liability
RE: Exhibition Hall access and usage and kitchen area usage.
Exhibitor shall be fully responsible to pay for any and all damages to property owned by the Resort, its
owners and managers which results from any act or omission of Exhibitor. Exhibitor agrees to defend,
indemnify and hold harmless to Resort, its owners, managers, officers or directors, agents, employees,
subsidiaries and affiliates from any damages or changes resulting from or arising from or out of the
Exhibitor's use of the property. Exhibitor's liability shall include all losses, cost damages or expenses arising
from or out of or by reason of any accident or bodily injury or other occurrences to any person or persons,
including the Exhibitor, its agents, employees, and business invitees which arise from or out of Exhibitor's
occupancy and/or use of the exhibition premises, the Resort or any part thereof (including but not limited
to, the kitchen area). The Exhibitor understands that the Resort does not maintain insurance covering
Exhibitor to obtain such insurance.
Company _
Name: _
_
On-Site Contact:
_
Title:
_
Authorized Representative's Signature:
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CREDIT CARD AUTHORIZATION FORM
Email to: heidi.hedberg@marriott.com
RE: Denny’s DFA Allied Partner Summit Meeting – Vendor Food Sampling
Event Dates: Monday, April 27th, 2015 – Friday, May 1st, 2015
Event Manager: Heidi Hedberg-Villa
I authorize the following charges, please check all that apply:
OTHER:
Please specify charges and vendor name:
Credit Card Type:
MasterCard_
Credit Card #
Visa
American Express:
Expiration Date
Card Member’s Phone Number
Discover:
/_
_ Email Address
Mailing Address for Credit Card_
I hereby authorize JW Marriott Tucson Starr Pass Resort & Spa to use my credit card to pay the above indicated charges. I
understand that all estimated charges will be applied as per the terms of the contract. Any remaining balance will be
charged/credited within 10 days of conclusion of the event.
Card Member’s Name as it reads on the credit card (please print)
Card Member’s Signature
X
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JW Marriott Tucson Starr Pass Resort & Spa 3800 West 3800 West Starr Pass Blvd. Tucson, AZ 85745
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