HomeMy WebLinkAboutContract 36473CITY SECRETARY'S/,��/�
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Today's Date: 12/06/07 ``' ��������
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Service Request Agreement
Please fill in ALL blanks. Mark "NA" if not applicable.
Client Information
New Client
Client (Company) Name:
Division !Dept:
Contact Name:
Address:
Contact Phone #:
Contact Fax #:
Contact E-Mail Address:
City of Fort Worth
Charmaine Salone
1000 Throckmorton
Fort Worth, TX 76102
817-392-2298
charmaine.salone(c�fortworthgov. orq
Class/Product/Service Information
Non-refundable Deposit:
Description/dates:
000.00
1
Sales Rep:
Billing Contact:
Billing Address:
(if different)
Billing Phone #:
Billing Fax #:
Billing E-Mail:
Foundations of Project Mgt. (Day 2) 1l30/08
Product Type
�A. Public Class Registration
®B. Private Class @Client Site
�C. Room Rental
�D. EVC
�E. Service -Consulting, Coaching, Other
�F. Instructor
�G. Assessment
�H. Manual/Book Order
Detailed Class Information and Requirements
Location of Training and Equipment Source:
Number of Students:
Class Time:
What is the Manual Order Number'l
Are there any Hardware/Software Requirements?
Any special requirements outside the normal classroom setup?
Additional Notes:
Student(s):
Client site (TBD)
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Company City of Fort Worth
Billing Information
Dates see above
The following is an outline of fees and payment terms mutually agreed upon between City of Fort Wound Execu I rain-
DFW:
Payment is due in full prior to the training event or by the 1st day of the training event. We accept Mastercard, Visa and
American Express.
Billing Options: (Choose only one)
®Deduct from Active Customer Deposit Amount:
Alliance Account #:
Alliance Requirements (mandatory):
$3,317.00
®Invoice
This billing option designates a single billing address and a single billing contact for all services provided per this agreement.
Billing Contact:
Billing Address:
Billing Phone #
Billing Fax #
Billing E-mail
Purchase Order Number (If applicable):
Charmaine 5alone
1000 Throckmorton
Fort Worth, TX 76102
817-392-2298
charmaine. salone(&tortworthgoy. org
Credit Card (American Express, Visa, and MasterCard)
This billing option is for a one-time Credit Card charge which will cover all costs incurred for this event.
Credit Card Holder:
Card Holder's Address:
Credit Card Number:
Credit Card Expiration Date:
Credit Card V-Code Number:
Card Holder's Phone Number:
Card Holder's Signature:
x
Company City of Fort Worth Dates see above
Cancellation Policies
****All Retakes aze subject to Cancellation and No Show Fees.
****All Memberships are subject to Cancellation and No Show Fees.
Standard Desktop Application Class: May be cancelled without penalty if done five (5) fnll business days prior to the start of the class.
Failure to cancel or reschedule five (5) full business days in advance will result in a 50% of class rate cancellation fee. If a student fails to
attend the scheduled class and does not cancel or reschedule, the full class fee (100%) will be charged.
Technical / MOC or Business Skills Class: May be cancelled or rescheduled without penalty up to ten (10) full business days prior to the
start of the class. Failure to cancel or reschedule, or if the student no shows the class, the full class fee (100%) will be charged. If a student
fails to attend the scheduled class and does not cancel or reschedule, the full class fee (100"/0) will be charged.
Private (_lass: May be cancelled without penalty up to fifteen (15) full business days prior to the start of the class. Cancellations between
ten (10) and fourteen (14) business days prior to the start of the class will be subject to a cancellation fee equal to 50% of the cost ofthe class.
Cancellation within less than ten (10) business days prior to the class will result in a cancellation fee equal to 100% of the cost of the class.
Room Rentals: May be cancelled without penalty up to fifteen (15) full business days prior to the start of the class. Cancellations between
ten (10) and fourteen (14) business days prior to the start of the class will be subject to a cancellation fee equal to 50% of the cost of the
room. Cancellation within less than ten (10) business days prior to the class will result in a cancellation fee equal to 100% of the cost of the
room.
Reschedule Policies
Standard Desktop Application class: Should you need to reschedule a class, please contact our office five (5) business days prior to your
scheduled class. If you reschedule a class four (4) days or less prior to the day of tfie class there is a late rescheduling fee of 2576 of your
total class cost. Please contact the scheduling department at 972-3874212 if you need to make any scheduling changes.
TechrdeaVMOC class or Business Skills: Should you need to reschedule a class, please contact our office ten (10) business days prior to
your scheduled class. If you reschedule a class nine (9) days or less prior to the day of the class there is a late rescheduling fee of 25% of
your total class cost. Please contact the scheduling department at 972-3874212 if you need to make any scheduling changes.
Private Glass: May be rescheduled without penalty up to fifteen (15) full business days prior to the start of the class. If you reschedule
within five (5) and fourteen (14) full business days prior to the start of the class, there will be a cancellation fee equal to 50% of the cost of
the class. Failure to reschedule five (5) business days in advance will result in the full (100%) of the cost of the class.
Room Rentals: Maybe rescheduled without penalty up to fifteen (15) full business days prior to the start of the class. If you reschedule
within five (5) and fourteen (14) full business days prior to the start of the class, there will be ncellation fee equal to 0% of the cost of
the class. Failure to reschedule five (5) business days in advance will result in the full (100%) f th st of thq of
;er/Cl�ecuTrain General Mana�
12/06/07
Date
CITY ATTORNEY
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�.;itv `Iecretar e
NO M&C REQUIRED
Manager
October-2006
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