ORDER FORM - ENTERPRISE SaaS - STATE OF OHIO
| Provider | [PROVIDER LEGAL NAME] |
| Customer | [CUSTOMER LEGAL NAME] |
| Product | [PRODUCT NAME] |
| Term | [X] months/years |
| Fees | $[AMOUNT] |
Payment: Net [30] days. Ohio sales tax: 5.75% state + local.
Data Breach: ORC Section 1349.19 et seq.
Venue: [Franklin/Cuyahoga/Hamilton] County, Ohio.
SIGNATURES
Provider: _________________ Date: _______
Customer: _________________ Date: _______