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PROPOSAL ACCEPTANCE FORM <br /> ECS CAROLINAS, LLP <br /> (Please Print or Type) <br /> Project Name: Facilities Consulting Services for Orange County <br /> Location: Orange County, North Carolina <br /> Proposal No.: 06:16742 <br /> Amount: $18,500.00 <br /> Please complete and return this Proposal Acceptance Form to ECS as shown at the bottom of this form. By signing <br /> and returning this form, you are providing us with authorization to proceed. Your signature also indicates that you <br /> have read this document and the general conditions of service in its entirety and agree to pay for these services. <br /> CLIENT AND BILLING INFORMATION <br /> Name of Client: <br /> Contact Person: <br /> Telephone No. <br /> E-mail: <br /> Responsible for Payment Approval of Invoice(if different) <br /> Contact Name: <br /> Company Name: <br /> Address <br /> Address <br /> City, State, Zip <br /> Telephone No.: <br /> Fax No: <br /> E-mail Address: <br /> The reports are normally e-mailed directly to client. If you require copies to others, please <br /> provide their names, e-mail addresses and fax numbers below. <br /> Name e-mail Address Phone Number Fax Number <br /> Special Instructions: <br /> Client Signature: x Date: <br /> Return to: Anthony Scialdone Phone: 919-861-9910 <br /> ECS Carolinas, LLP Fax: 919-861-9911 <br /> 9001 Glenwood Avenue Raleigh, North Carolina 27617 <br />