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Agreement Form

Name:-------------------------------------------------------
Email & Phone ----------------------------------------------
Date & Time: -----------------------------------------------
Location of Event: -------------------------------------------
Mis. ---------------------------------------------------------
Stephanie Okolo - University of Colorado Anschutz Medical
STEPHANIE.OKOLO@ucdenver.edu /
203-258-7851
Thursday - January 21, 2016 @ 3:15pm

The Lawrence Street Center Terrace Room, Floor 2 1280 Lawrence St
Performer will arrive approx. 30min. early to allow for setup time.

Fees
                                        Service Provided                                                                                                      Charge 

45min Stand up Show (Stage Show)

$500.00
Total
$500.00

Payment is due at end of service
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