Contract Amendment Form

This Amendment is made between _________________ and _________________ to

amend the Original Agreement titled _________________, signed by them on
_________________.

The Original Agreement is amended as follows: ___________________________.

All provisions of the Original Agreement, except as modified by this Amendment, remain
in full force and effect, and are reaffirmed. If there is any conflict between this
Amendment and any provision of the Original Agreement, the provisions of this
Amendment shall control.

Signatures

Client: ___[Name of Client]___

By: ____________________________________________
Signature

Typed or Printed Name: _______________________________

Title: _________________________

Date: ________________

Consultant/Contractor: ___[Name of Consultant/Contractor]___

By: ____________________________________________
Signature

Typed or Printed Name: _______________________________

Title: _________________________

Taxpayer ID Number: _________________

Date: ________________

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