SAMPLE AGREEMENT FORM

by

Verla Kay

LETTER OF AGREEMENT

•This letter confirms that Author YOUR NAME HERE (Phone YOUR PHONE #YOUR FAX #) is speaking at:

School________________________________

Address ______________________________________________

on _______(day of week)__________, _____(date)_________, 2001,

between __________AM/PM and __________AM/PM.

• Directions to School (please send long directions on a separate page) __________________________________________________________________________

School Phone_________________

School Fax ________________

Contact Name__________________________

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The above named School and the Author, YOUR NAME, agree to the following schedule, plan, and financial terms for the visit.

•Number of presentations: Assemblies ____ Classrooms ____ Meet the Author _____ Other _____

• Length / time of each presentation:

Start/End Times Grade/s # Children Presentation Topic/s

Assembly #1:____________ ________ ________ _________________

Assembly #2:____________ ________ ________ _________________

Classroom:______________ ________ ________ _________________

Classroom:______________ ________ ________ _________________

Classroom:______________ ________ ________ _________________

Meet the Author: _________ ________ ________ _________________

Other:__________________ ________ ________ _________________

•The following equipment and/or assistance will be provided by the school:

____Glass of Water

____Table/s (One Large or Two Small)

____Overhead transparency projector

____Screen

____PA system for assemblies (next to overhead transparency projector, if used)

____Written Directions to School

Other ____________________________________

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•I agree to pay YOUR NAME the sum of $ ________ as an honorarium for this

program at ____________________ school on ______________, 2001.

•Honorarium to be paid on the day of YOUR NAME's presentation/s unless other arrangements are agreed upon by both parties. (Mail check to: YOUR NAME AND MAILING ADDRESS HERE)

•Alternate date for payment: Honorarium to be paid no later than ____________, 2001.

•Other arrangements for payment: ________________________________________

•(Late payment charge is $50.00)

•Expenses to be paid by School: Travel Expenses? Yes No Lodging? Yes No Meals? Yes No

Arrangements for Expenses: ________________________________________________________

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•Date: ____________ Signed: _____________________________(principal/person in charge of event)

 

•Date: _____________ Signed: _____________________________(author)

( SS # 000-00-0000)

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