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* 1. Name:

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* 2. Phone number:

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* 3. Home address:

This is a contract between [COMPANY] and the individual named above.
[INSERT TERMS OF CONTRACT HERE.]

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* 5. I agree to the contract terms as stated above.

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* 6. Date:

Date

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* 7. Signature:

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* 8. I acknowledge that by entering my name above I am providing a digital signature.

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