Contract Info
Contract for Services
The following is a contract for services between
Doug Nielsen Communications and the following:
Company:__________________________
Address:___________________________
City:______________________________
State:___________________
Zip:_______
Company Contact:____________________
Office Phone:________________________
Home or Cell Phone:__________________
Email Address:_______________________
Doug’s services will be performed as follows:
Event Title:__________________________
Date:_______________________________
Address of Event:_____________________
Time of Presentation:__________________
Length:_____________________________
Size of Audience:_____________________
AV Needs: 1 wireless hands free microphone, 1 microphone with stand, one small table
Meeting Objective:
Please give a brief description of your meeting objective or theme:
Chosen Topic or Title of Speech:
___________________________________
Doug Nielsen will tailor his message to your group,regardless of the speech chosen. Please complete the Pre-Event Questionnaire to aid in Doug’s preparation.
The agreed upon fee will be _____________________ plus travel expenses which include: all airfare, hotel, gratuities, parking, meals, ground transportation, tolls, etc. A 50% deposit will be required to hold your date and the remaining $50% will be due the date of the event. Travel Expenses will be billed within 15 days following the event.
Please make checks payable to Doug Nielsen Communications.
**If you are interested in video recording or taping of the
presentation, a separate agreement must be completed.
Acceptance of Agreement:
Doug Nielsen Communications
Signature________________________
Date____________________
Organization
Signature___________________________
Date____________________
Please print name of signer
**Please sign and return one copy. Retain one copy for your records.
To download a contract Click Here
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