Send the completed bid form below to:
Richele Pilkington
Mount Laurel Township Recreation
100 Mount Laurel Road
Mount Laurel N.J. 08054
Phone: 856.234.0001 Ext. 269
Fax: 856.996.0103=
MOUNT LAUREL TOWNSHIP
OLDER ACTIVE ADULT SENIOR INSTRUCTOR QUOTE SHEET
Name: _______________________________
Company Name: ___________________________________
Address: ___________________City: _________ State: _______ Zip: ______
PHONE #(S)* _______________ E-MAIL _______________________________
LOCATION: Mount Laurel Township Senior Center
* PLEASE ATTACH YOUR New Jersey Business Certificate and Resume
ACTIVE OLDER ADULT INSTRUCTOR: CREATIVE WRITING / JOURNALISM
QUOTE FOR SPRING SEMESTER (04/16/12 - 06/08/12)
RATE PER HOUR $_______________________
I certify that the above information is true and accurate
_______________________________ _________________
Signature (must be legible) Date
Please Print:
Name __________________________________
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