Cart Fair | Trade Show Equipment Request Form
Cart Fair/Trade Show Equipment Request Form
(Only 1 cart per request)

( * ) Indicates required field
* Sales Rep Requesting
* Sales Rep's email address
Alternate email address
* Opportunity size
Event Information

  • * Name of Event
  • * Date of Event  
  • * Date Needed to Arrive  
  • * Expected Date of Return  
  • * Ship to Facility
  • * Contact Name   
  • * Contact Phone Number   
  • Contact Email   
  • * Pickup or Shipping?
  • * Shipping Address
  • *Lift Gate Required (Y or N)
Cart Information
All HI-Care based carts are Gray/White, Lithium Powered, with Howard
LCD arm, 5" casters, and double spacers unless specified.Monitors measure
up to 22" unless specified.
  • * Cart Needed:
  • * Monitor:
  • * CPU:
  • * Storage Type:
  • * Locking Method:
  • Drawer configuration:
  • Peripherals:
    •  Mouse
    •  Keyboard
    •  Docking station
    •  Fixed Scanner
    •  Tethered Scanner
    •  Wireless Scanner
    •  Universal Scanner Mount
    •  Halogen Lamp
    •  Keyboard Light
    •  Negative Tilt Keyboard
    •  
    •  
  • Other - if other, please specify
  • * Accessory mounting options:
  • Accessories:
    •  Sani Wipes
    •  Hand Sanitizer
    •  Sharps 1 QT
    •  Sharps 2 QT
    •  
    •  Mini Waste
    •  Small Basket
    •  Large Basket
    •  Small Cup Holder
    •  Large Cup Holder
    •  Basic Accessory Pack
      (Includes pole, extended
      mounting bracket, Sani-
      Wipes, bracket,1 QT
      Sharps Container, Mini
      Waste Bin, Small Basket,
      and Hand Sanitizer)
    •  
Additional comments about Shipping
Additional comments about Cart, Drawer Configuration, Power System:

Marketing Materials Quantity
* Shipping to same Location as above

 Flooring
 Tablecloth(s)
 Pop-up Banner Stand
 Giveaways

Additional comments about Marketing Materials


Brochures
 HI-Mobile  HI-Paradigm
 HI-Care  HI-Pinnacle
Hub/Transfer
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Contact Information

  • Howard Medical | 36 Howard Drive | Ellisville, MS 39437
  • Phone | (877) 856-6441
  • Fax |(601) 399-5060