Jorge’sPercussion & Dance Workshops

253 North Applegate Road, Ithaca, N.Y. 14850
(607) 256 - 4106      Jorge@htva.net
www.JorgeVisions.com

This is a contract of obligation between betweenJorge T. Cuevas, on behalf of Jorge’s Percussion & Dance Workshops, and

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to do business as stated in this agreement.

Date                Time range                    Location (Directions, maps,& contact phone#)
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Type of services provided_________________________________________
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Cost $____________________________________

Organization representative’s signature(s), and contact info.

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Service Provider___________________________________________