ORDER FORM - ENTERPRISE SaaS - STATE OF MAINE
| Provider | [PROVIDER LEGAL NAME] |
| Customer | [CUSTOMER LEGAL NAME] |
| Product | [PRODUCT NAME] |
| Term | [X] months/years |
| Fees | $[AMOUNT] |
Payment: Net [30] days. Maine sales tax: 5.5% state.
Data Breach: 10 M.R.S. Section 1348 et seq.
Venue: [Cumberland/Kennebec] County, Maine.
SIGNATURES
Provider: _________________ Date: _______
Customer: _________________ Date: _______