ORDER FORM - ENTERPRISE SaaS - STATE OF MISSOURI
| Provider | [PROVIDER LEGAL NAME] |
| Customer | [CUSTOMER LEGAL NAME] |
| Product | [PRODUCT NAME] |
| Term | [X] months/years |
| Fees | $[AMOUNT] |
Payment: Net [30] days. Missouri sales tax: 4.225% state + local.
Data Breach: R.S.Mo. Section 407.1500 et seq.
Venue: [St. Louis City/Jackson] County, Missouri.
SIGNATURES
Provider: _________________ Date: _______
Customer: _________________ Date: _______