Booking / Contract
Talk/Slide Presentation

Parish name: __________________________________Web site_______________________________

Address: ___________________________________________________________________________

City:_______________________________________________ State: ________ Zip code:___________

Contact person: ____________________________________ Title:______________________________

Phone: _______________________________ E-mail: ________________________________________

 

Presentation Date: _______________ Time: __________

Presentation stipend and accommodation fees:

Traveling fee: Mileage (round trip from Geneseo, New York to your parish): _________ x $.50 = $___________

Stipend: $___________

Other transportation if applicable (round trip ticket purchased): $___________

Other accommodations: $___________

NY tax: $___________
(Parishes in New York, please enclose a copy of your Tax Exempt certificate. Thank you.)

Total Fee: $___________

Contact person: _______________________ _______________________Date: ______________
(Print name and sign)
Minhhang K. Huynh
: _____________________ _______________________Date: ______________
(Print name and sign)


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