My Full Time Athlete / Berezowski Enterprises Inc.

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First name *

Last name *

Email *

Mobile

Address

City

Country

State/Province

Zip/Postal code

Please list the dates and times of your hours, your wage and total hours, and the total amount should calculate on it's own.

Dates & Times (Ex: May 15 - 11am-3pm)

Qty

$/hour

Amount

Subtotal $0.00

Notes

Digital signature*

I certify that the information above is exact.