Agreement Form

Name:--------------------------------------------------
Email & Phone ----------------------------------------
Date & Time: -----------------------------------------
Location of Event: ------------------------------------
Mis. --------------------------------------------------

Forever Young Senior Club / Barbara May
westy101barb@comcast.net / 303 - 255 - 3836
Tuesday / April 7 @ 12:30 P.M
St. Mark Catholic Church - 3141 W. 96th Ave.
Performer will arrive approx. 30min. early to allow for setup time.

---

Fees

                                        Service Provided                                                                                                      Charge 

---

45min Standup Show

$150.00
Total
$150.00
Payment is due at end of service