Agreement Form
|
Name: -----------------------------------------------
Email & Phone #: ------------------------------------ Date & Time: ---------------------------------------- Location of Event: ----------------------------------- Mis. ------------------------------------------------- |
Kaiser Permanente - Judy Tucci
Judy.tucci@kp.org / 720-536-6601 December 9, 2014 @ 2:00pm or 3:00pm 280 Exempla Circle Lafayette, CO 80026 Performer will arrive approx. 30min. early to allow for setup time. |
Fees
Service Provided Charge
|
60min Stage Show
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$225
Total $225 |
