Email: _________________________________________________ Address: _______________________________________________ Zip: _____________ ____ Total Package ($550/22 weeks) Other Arrangements: _____________________ ____ June Only ($88/4 weeks) ________________________________________ ____ Summer Season ($243/9 weeks) ________________________________________ ____ Fall Season ($243/9 weeks) ________________________________________
I understand that a non-refundable payment in full is due at the latest upon the first pick-up/delivery.
Name: _________________________________________________
Day Phone: _________________________ Evening Phone: ____________________________
Share:
TOTAL COST: _________________
Shareholder Signature: _______________________________
Shareholder Date: __________
Rasa Initials: __________ Rasa Date: __________