ORDER FORM - ENTERPRISE SaaS - STATE OF NEW JERSEY
| Provider | [PROVIDER LEGAL NAME] |
| Customer | [CUSTOMER LEGAL NAME] |
| Product | [PRODUCT NAME] |
| Term | [X] months/years |
| Fees | $[AMOUNT] |
Payment: Net [30] days. New Jersey sales tax: 6.625% state.
Data Breach: N.J.S.A. 56:8-161 et seq.
Venue: [Essex/Bergen/Middlesex] County, New Jersey.
SIGNATURES
Provider: _________________ Date: _______
Customer: _________________ Date: _______