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Enter your recruiters 6 digit RXW#*

Who Will Inherit Your Buiness upon Your Death?

Your Date of Birth

IN WITNESS WHEREOF, the parties have executed this Agreement as of the Effective Date.

For purposes of notices, the addresses of the parties will be:

If to the Company:

RxWound LLC

Attn: Eric Lankford, Owner

#1021 240 US Route 1 Unit B1 Falmouth, ME 04105

Telephone: 833-799-6863

Email: eric@rxwound.com

If to Sales Agent:

Rep Company Name

Rep Name

ATTN:

Company Address

Company Phone

Company Email

Sales Agent

Print Name

Date Agreement Was Signed

Your Position In Company

EXHIBIT A

LIST OF ACCOUNTS

In the event of a disagreement between the parties as to whether an account should be included on this Exhibit A, the Company shall have final decision-making authority. Other than as expressly set forth in this Agreement, the parties agree that this Exhibit A may only be amended upon the written agreement of the parties.

LIST OF ACCOUNTS 1

LIST OF ACCOUNTS 2

LIST OF ACCOUNTS 3

LIST OF ACCOUNTS 4

LIST OF ACCOUNTS 5

EXHIBIT E

BUSINESS INHERITANCE

Legacy. In the event that the sales representative should die, RxWound LLC agrees to pass on any recurring income or assets from the sales representative’s accounts to

and upon their death to b

and upon their death to c

and upon their death to d

and upon their death to e

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Eric Print name

Eric Position