Independent Contractor Services Agreement Form Page 3

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15. Special Stipulations: The following stipulations, if in conflict with any of the
proceeding, shall control:
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
IN WITNESS WHEREOF, all of the parties hereto affixes their hands and seals.
________________________________
________________________
Client
Date
________________________________
________________________
Contractor
Date
Contractor Residence Address: ______________________________________________
Contractor Home Phone Number: ____________________________________________
Contractor Pager Number: __________________________________________________
Contractor Cell Phone: __________________ Contractor Fax: _____________________
3

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