JORGE’S PERCUSSION ENSEMBLE

721 Five Mile Drive apt. #2, Ithaca, NY, 14850
(607) 256 - 4106      Jorge@htva.net
www.JorgeVisions.com

This is a contract of obligation between Jorge’s Percussion Ensemble, &

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to do business as stated in this agreement.

Date                Time range                    Location (Directions, maps,& contact phone#)
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Other special arrangements__________________________________________
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Cost plus tax $ ___________________________________________________

Deposit $ ______________________________________________________

(Non-refundable, but applied towards total cost)

Balance due $ __________________________________

Your signature(s), address, e-mail, & phone #s

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Band Representative:___________________________________________