COOKSEY[1]
& ASSOCIATES
702-254-6092
COMPANY NAME:
COMPANY ADDRESS:
PHONE:
EMAIL:
AUTHORIZED COMPANY REPRESENTATIVE:
(Name & Title)
LOCATION OF EVENT:
DATE OF EVENT: (Day, Week,
Year)
ANALYST’S BEGINNING TIME:
ANALYST’S ENDING TIME:
CONTACT PERSON (at event):
PAYMENT:
$300.00 up to two hours, $120.00
each hour thereafter
25% discount shall apply after the
second hour when full payment is received in advance at the time of booking.
PAYMENT
BALANCE (if not paid in advance) TO BE PAID BEFORE THE PERFORMANCE
BEGINS:
NOTE: I am the company
representative (and/or owner), responsible for authorizing payment. My
signature below verifies my understanding and agreement that three hundred
dollars ($300.00) shall be non-refundable.
SIGNATURE:
[1] Event Reservation will be official only when this document and payment is received by Cooksey & Associates in Postal Mail, Fed. Ex., UPS, etc. You will receive confirmation by email. Please make check to BILL COOKSEY. Thank you!