Sound of Success, LLC Ariel A. Peniche 213 East Hanover Avenue Owner Morristown, NJ 07960 Franz D. Owens www.sekses.net Owner Michael E. Cassidy p. 973.978.8871 Owner e. sekses@sekses.net ~ Endure Hate. Become Love. Create Life. ~ SERVICE REQUEST FORM The party described hereafter requests the professional services of Sound of Success, LLC. Contact Information: Billing Information: Name: Name: Address: Address: Phone: Phone: Fax: Fax: Email: Email: Sound of Success, LLC hereby agrees to skillfully and professionally provide the services outlined below. To secure the requested services a deposit fee of $ shall be paid by cash or personal check to Sound of Success, LLC. (Any notice of cancellation to be deemed refundable shall be made a minimum of one business week prior to the requested service date stated in the outline of services above). Upon completion of said services the requesting party shall make final payment by cash or personal check to Sound of Success, LLC. in the amount of $ . I (we) hereby authorize the services Service Request Form prepared by: outlined above: Authorized Person(s) (Date) Owner (Date) PLEASE SIGN THE FORM WHERE INDICATED AND MAIL TO SOUND OF SUCCESS, LLC. (Authorization of this form is intended to legally bind the aforementioned parties to the agreement contained herein) The Sound of Success, LLC reserves the authority to request additional payment for services not outlined above.