ORDER FORM - ENTERPRISE SaaS - COMMONWEALTH OF VIRGINIA
| Provider | [PROVIDER LEGAL NAME] |
| Customer | [CUSTOMER LEGAL NAME] |
| Product | [PRODUCT NAME] |
| Term | [X] months/years |
| Fees | $[AMOUNT] |
Payment: Net [30] days. Virginia sales tax: 5.3% state + local.
Data Breach: Va. Code Ann. Section 18.2-186.6.
Privacy: Virginia Consumer Data Protection Act (VCDPA).
Venue: [Fairfax/Richmond City/Virginia Beach], Virginia.
SIGNATURES
Provider: _________________ Date: _______
Customer: _________________ Date: _______