ORDER FORM - ENTERPRISE SaaS - STATE OF WISCONSIN
| Provider | [PROVIDER LEGAL NAME] |
| Customer | [CUSTOMER LEGAL NAME] |
| Product | [PRODUCT NAME] |
| Term | [X] months/years |
| Fees | $[AMOUNT] |
Payment: Net [30] days. Wisconsin sales tax: 5% state + local.
Data Breach: Wis. Stat. Section 134.98.
Venue: [Milwaukee/Dane/Waukesha] County, Wisconsin.
SIGNATURES
Provider: _________________ Date: _______
Customer: _________________ Date: _______