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LETTER OF AGREEMENT This letter confirms that Margaret Medina (Meg Medina) is speaking at: School or Community Center ________________________________ Address ______________________________________________ on _______(day of week)__________, _____(date)_________, _____(year) , between __________AM/PM and __________AM/PM. • Directions to School (please send long directions on a separate page) ________________________________________________________________________ School Phone_________________ School Fax ________________ Contact Name__________________________ ----------------------------------------------------------------------------------------- The above named School and Margaret Medina agree to the following schedule, plan, and financial terms for the visit. •Number of presentations: Assemblies ____ Classrooms ____ Meet the Author _____ Residency: • Length / time of each presentation: Start/End Times Grade/s # Children Presentation Topic/s Assembly #1:____________ ________ ________ _________________ Assembly #2:____________ ________ ________ _________________ Classroom:______________ ________ ________ _________________ Classroom:______________ ________ ________ _________________ Meet the Author: _________ ________ ________ _________________ Residency:__________________ ________ ________ _________________ •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 ____________________________________ ----------------------------------------------------------------------------------------- •I agree to pay Margaret Medina the sum of $ ________ as an honorarium for this program at ____________________ school on ______________(date). •Honorarium to be paid on the day of Margaret Medina’s presentation/s unless other arrangements are agreed upon by both parties. •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: ________________________________________________________ ----------------------------------------------------------------------------------------- •Date: ____________ Signed: _____________________________(principal/person in charge of event)
•Date: _____________ Signed: _____________________________(author)
Please print out two copies. Fill in your information and mail to Meg Medina P.O. Box 29527 Richmond, VA 23242. I will countersign and return your copy to you. |