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 grants franchisee exclusivity of distributorship in _____________________ and exclusive rights to the following described area: __________, until such time that the population for the described area exceeds ______ as determined by census. After such time that the census report reveals a surpassing of the aforementioned population requirements, the franchiser may grant another franchisee license.