Client/Organization:_________________________________________________
Address: ______________________________________________________
City: __________________________ State:
________ Zip: _____________
Contact person: ________________________________________________
Phone #: __________________________
Fax #:______________________________
Email: ____________________________
Web Site (for research purposes): _________________________
Date of engagement: ________________
Time: _______________________
Length of Presentation: ____________
Appox. Audience size: ___________
Location of Engagement(s): _____________________
Subject / Suggested Title: _________________________________________
A deposit of 50% of the fee is due
upon return of this confirmation. The balance is payable on site
the day of the performance. Expenses will be billed after the presentation
Please make checks payable to Brian Norris
LLC