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I understand the submission of this form does not assure or guarantee that I will receive any work assignments from Pacific Field Service, Inc.; but that I may be contacted by a representative of Pacific Field Service, Inc. In the event a representative of Pacific Field Service, Inc. makes contact with you, there are no assurances or guarantees regarding the quantity, quality or type of work assignments that may be offered, the consideration that will be identified in connection with any work assignments offered or the locations in which the work assignments will need to be completed. If a work assignment is offered and you accept it, you will perform the work as an independent contractor subject to the terms and conditions of an independent contractor agreement between you and Pacific Field Service, Inc. You agree that the submission of this form does not bind Pacific Field Service, Inc. in any way. By submitting this form, I acknowledge, and agree to, the above terms and conditions.

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