Work Order for Services

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Ted Egan Consulting
2269 Mill Stream Court
Naples, FL 34109
(239) 593-3677; 239-596-4640 FAX
E-mail:  tedegan@edi-com.com

Please carefully read and acknowledge this ORDER by completing any missing information, signing, and faxing it back to (239) 596-4640.

Date: _______________________   Purchase Order Number: __________________

Company Name:________________________________________

Address:_________________________________

City, State, Zip: ____________________________________________

For Technical Inquiries Contact Name: ______________________________

    Phone Number: __________________       E-mail: _______________________

For Billing Inquiries Contact Name: ________________________________

    Phone Number: ___________________       E-mail: ______________________

Description of work requested:

 

 

 

Maximum Allowed Hours: _____  Comment: ____________________________

All services are performed in Mr. Egan's office and billed at a rate of __________ per hour (rounded to the next highest full hour) unless negotiated otherwise and noted on this Work Order.  Terms are net upon receipt of the finished work unless otherwise indicated on this Work Order.

As with any system diagnostics or configuration or programming activity, circumstances may arise that can cause actual hours to exceed estimates and warrant justified extensions at the customer's discretion.

______________________________ ________________________________
Authorized Company Signature Please Print Your Name

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