Preventive Medicine Mailchimp Newsletter Sign-Off - USM Interactive

Overage Signoff for

Preventive Medicine Mailchimp Newsletter Sign-Off

Please sign this form to approve your overage. Please contact [email protected] with any questions you may have.

I, Sam Gardner, of Preventive Medicine, hereby acknowledge my request for Union Street Media to set up a MailChimp account for our company, Preventive Medicine, on May 7, 2014.

With this sign off, I confirm my understanding that the request I have made (described above) is estimated to take between 1-2 hours, is out of scope of my initial project budget, and may result in an overage of $125-$250.  The overage will also include an initial software set up fee of $375.  In other words, the overage will result in a $500-$625.

I understand that my approval of this overage may result in my having to pay the above-mentioned cost above the high end of my initial contract budget, will not be included in the barter originally discussed with Ted, and extend the timeline of my project.

Please check the boxes below to sign: