9400 Havenbrooke Way • Knoxville, TN 37922

Phone: 865.357.6200



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SPECIAL ORDER / ADDITIONAL CHARGES REQUEST
FOR EMERALD WOOD'S CORPORATE RENTAL

Please Print, fill out details and fax back with your order

Furniture/Electronics


______  Additional TV (19" w/ stand)


$30.00/month


______  VCR


 $20.00/month


______  Phone with Answering Machine


$10.00/month


______  Computer Desk & Chair w/Pad


$30.00/month


______  Credenza


$15.00/month


______  Baby Crib with Sheets


$40.00/month


______  Entertainment Center


$12.50/month


______  Fax Machine


$30.00/month


______  Sleeper Sofa


$30.00/month


Services

______  Maid Service    $60.00/visit

       Maid Service Requested:

       ______ Weekly, which day of the week? ________

       ______ Monthly, Which day & week? _________ , _________

       ______ As needed, with 3 work day notice


______  Additional Phone Line  $35.00/month
               (long distance is an additional cost)

______  Premium Cable TV  - Call for quote

______  Other:___________________

______  Other:___________________

______  Other:___________________


Signed: ____________________________

Date: ___________________

Please fax to 865.357.6201 / Phone 865.357.6200



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