ORDER FORM - ENTERPRISE SaaS - STATE OF KENTUCKY
| Provider | [PROVIDER LEGAL NAME] |
| Customer | [CUSTOMER LEGAL NAME] |
| Product | [PRODUCT NAME] |
| Term | [X] months/years |
| Fees | $[AMOUNT] |
Payment: Net [30] days. Kentucky sales tax: 6% state.
Data Breach: KRS 365.732.
Venue: [Jefferson/Fayette] County, Kentucky.
SIGNATURES
Provider: _________________ Date: _______
Customer: _________________ Date: _______