In consideration of telephonic advice given to the undersigned now or at any future date in connection with the repair or maintenance of any and all of the undersigned's induction heating and related equipment ("Telephonic Advice"), and in consideration of the fact that the actual repair and/or maintenance work will be performed by the undersigned and its employees or agents, the undersigned hereby remises, releases and forever discharges the said EAST COAST INDUCTION, INC. and its employees, officers, directors, agents and assigns of and from all demands, actions, causes of action, suits, accounts, covenants, contracts, agreements, damages, and any and all claims, demands and liabilities whatsoever of every name and nature, both in law and in equity, arising out of, or connected with, the Telephonic Advice.

The undersigned is aware that hazardous and potentially lethal voltages are present in induction heating and related equipment and that there are specific safety precautions which must be taken when servicing this equipment to minimize the risk of injury to the undersigned and its employees or agents.

The undersigned hereby affirms that all personnel performing service work on this equipment have been properly trained and certified to work on high voltage equipment and that such personnel understand and shall follow all appropriate safety precautions.

EXECUTED under seal as of this ____ day of ____________, 20___.

Company Authorized Signature

Address Title

To be signed by a corporate officer or other authorized management personnel.
Fax copy to 508-587-9079. Mail original to PO Box 2039, Brockton, MA 02305-2039.