WM0801197_Application_20220628 (2)

June 15, 2022
ECS SOUTHEAST, LLP
PROPOSAL ACCEPTANCE FORM
ECS SOUTHEAST, LLP
Project Name: Renovation Church — Environmental Assessment
Location: Highway 17 and Sloop Point Road, Rocky Point, Pender County, North Carolina
Please complete and return this Proposal Acceptance Form to ECS. By signing and returning this form, you
are providing us with authorization to proceed, providing us permission to enter the site, and making this
proposal the agreement between us. Your signature also indicates that you have read this document and
the general conditions of service in its entirety and agree to pay for these services.
Name of Client:
Contact Person:
Telephone No.
E-mail:
Contact Name:
Company Name:
Address
Address
City, State, Zip
Telephone No.:
Fax No:
E-mail Address:
CLIENT AND BILLING INFORMATION
Responsible for Payment Approval of Invoice (if different)
The reports are normally e-mailed directly to client. If you require copies to others, please provide their
names, e-mail addresses and fax numbers below.
Name e-mail Address Phone Number Fax Number
Special Instructions:
Client Signature: x Date:
ECS Proposal No. 49:31922P
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