Agreement Form
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Name: --------------------------------------------------------
Email & Phone #: --------------------------------------------- Date & Time: ------------------------------------------------- Location of Event: -------------------------------------------- Mis. ---------------------------------------------------------- |
Tishah Best-Fish - Swedish Medical Center
Tishah.Best-Fish@healthonecares.com / 303-788-6560 May 14, 2015 @ 1:00pm South Fellowship Church: 6560 S Broadway, Littleton, CO Performer will arrive approx. 30min. early to allow for setup time. |
Fees
Service Provided Charge
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60min Standup Show
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$250.00
Total $250.00 Payment is due at end of service |
