Please fill this form out with as much detail as you can to aid us in creating a dynamic outdoor demonstration area.

    Demonstration Contact (Name/Title):

    Your Email (required):

    Your Organization (required):

    Your Phone:

    Your Logo (please keep under 2mb):


    This will be (check the appropriate box): Exhibitor BoothDemonstrationBoth

    Proposed Demonstration Description (please provide a 300-word description of your exhibit for the ESMO 2016 Demonstration Booklet):

    Subject Category (please select the most appropriate):

    Length of Time required for Proposed Demonstration:

    Proposed Arrival Date:

    Setup Time Required:

    Ground Space Required:

    Height Requirements:


    Line Voltage:

    Energized or De-Energized Facilities:

    Tower, Pole or Mid-Span Work:

    Conductor or OHGW Configuration and Size:

    Transformer Voltage and Sized:

    Electrical Service Requirements (phase, voltage and capacity):

    UG Requirements (excavation length, depth, etc.):

    Assistance Required with Setup and Demonstration (manpower and equipment):

    Additional Comments