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3 <br /> February 12, 2015 <br /> Page 7 <br /> ACCEPTANCE PAGE <br /> ACCEPTED THIS day of ,2015. <br /> THIS ACCEPTANCE INCLUDES AN EXPRESS ACKNOWLEDGMENT OF ALL <br /> TERMS AND PROVISIONS OF THIS LETTER. <br /> City of Everett Fire Department <br /> By: <br /> Signature <br /> Print Name: <br /> Title: <br /> A check for the retainer amount as specified in this Engagement Letter is attached,or <br /> our credit card information is provided below, and we hereby authorize Page, Wolfberg <br /> & Wirth,LLC to charge this account in the amount of the retainer set forth in this <br /> Engagement Letter. <br /> TO PAY BY CREDIT CARD- Visa,MasterCard,AmEx,Discover (Circle One) <br /> Card No. <br /> Expiration Date Amount Paid <br /> Signature <br /> Name on Card Phone <br /> • <br />