Kindly fax back to us a signed conforme at tel/fax: (632) 715-0783

ITEM: _______________________________ DATE NEEDED: ___________________

SPECS: ______________________________ TIME NEEDED:___________________

QUANTITY: __________________________ FUNCTION: _______________________

VENUE: _______________________________________________________________

REMARKS: ____________________________________________________________

Conforme:

_________________________
(LESSEE)
Print Name & Signature

Mr. Carlo Alano Clemente
(LESSOR / PROPRIETOR)
0917-8570829