ORDER FORM - ENTERPRISE SaaS - COMMONWEALTH OF MASSACHUSETTS
| Provider | [PROVIDER LEGAL NAME] |
| Customer | [CUSTOMER LEGAL NAME] |
| Product | [PRODUCT NAME] |
| Term | [X] months/years |
| Fees | $[AMOUNT] |
Payment: Net [30] days. Massachusetts sales tax: 6.25% state.
Data Breach: M.G.L. c. 93H; 201 CMR 17.00.
Venue: [Suffolk/Middlesex] County, Massachusetts.
SIGNATURES
Provider: _________________ Date: _______
Customer: _________________ Date: _______