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Additional Symbols To Be Used

The franchiser, _________, and the franchisee, ___________, as set forth in their franchise agreement on __________ and as witnessed by ______, have agreed to the following additional terms and conditions:

Franchiser may also grant franchisee the right to use the following:

______________ upon application. Permission is the sole decision of the franchiser.

Date: ________.

____________________________

Franchiser

____________________________

Franchisee

____________________________

Witness

____________________________

Witness