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:
Effective ____________ and every ___of the month thereafter, the franchisee _______ agrees to pay the franchiser _______ which is ____ percentage of gross sales for a period of ____. Gross sales is determined and defined by the following _________ and in accordance with government standards and practices. All gross sales will be measured in receipts of sale in store location and promise to be correct by the franchisee.