CLIENT:
Address:
City, State, Zip)
[DESCRIPTION OF COMMISSION]
[Detail of what the commission entails]
Estimated cost $[dollar amount] [specify if any
extras involved]
This commitment form is to serve as Client's written
authorization for [firm] to perform services and/or
contract with suppliers for the above described items
or services (radio, television, magazine, publication,
outdoor advertising, artwork, production, etc.) on client's
behalf.
Client's signature also indicates understanding of
estimates, prices, terms and liability to [firm] for said
items or services. Alterations or revisions of above
specifications involving extra costs will be executed only
upon additional written orders.
Date:
Client: (clearly print name after signature)
Title: ___________________________________
________________________________________
Agency: (clearly print name after signature)
Title: ___________________________________
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