ORDER FORM - ENTERPRISE SaaS - STATE OF IOWA
| Provider | [PROVIDER LEGAL NAME] |
| Customer | [CUSTOMER LEGAL NAME] |
| Product | [PRODUCT NAME] |
| Term | [X] months/years |
| Fees | $[AMOUNT] |
Payment: Net [30] days. Iowa sales tax: 6%.
Data Breach: Iowa Code § 715C.1 et seq.
Venue: [Polk/Linn/Scott] County, Iowa.
SIGNATURES
Provider: _________________ Date: _______
Customer: _________________ Date: _______