ORDER FORM - ENTERPRISE SaaS - STATE OF ILLINOIS
| Provider | [PROVIDER LEGAL NAME] |
| Customer | [CUSTOMER LEGAL NAME] |
| Product | [PRODUCT NAME] |
| Term | [X] months/years |
| Fees | $[AMOUNT] |
Payment: Net [30] days. Illinois sales tax: 6.25% state + local.
Data Privacy: Personal Information Protection Act (815 ILCS 530/); BIPA (740 ILCS 14/) if biometric data.
Venue: [Cook/DuPage/Lake] County, Illinois.
SIGNATURES
Provider: _________________ Date: _______
Customer: _________________ Date: _______