Hold Harmless Agreement/Release of Liability

Serving Chicagoland — Algonquin · Barrington · Elgin & more

Date

Customer Name

Address — Street Address

Address — Address Line 2

Address — City

Address — State / Province

Address — ZIP / Postal Code

Consent

I agree to these terms

What is being moved?

Dfranco Painting and Wallpaper will not be responsible for injury or damage incurred by the above section.

Customer Signature