Amendment of Contract

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Company ABC, Inc. Amendment Number __ _______________ and _______________ agree to the following amendment of the ____________________ dated __________ concerning _____________________________________________________________. _____________________________________________________________. In all other respects, the terms of the original contract and any earlier amendments will remain in effect. If there is a conflict between this amendment and the original contract or any earlier amendment, the terms of this amendment will prevail. Dated: ____________________ Name of Business: ______________ a ____________________________ By: __________________________ Printed Name: __________________ Title: _________________________ Address: _____________________ Name of Business: _______________ a ____________________________ By: __________________________ Printed Name: __________________ Title: _________________________ Address: _____________________ Page 1 of 2 Company ABC, Inc. Page 2 of 2

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