[Example: Create your own version and remove this note and the footer before using]

Cloud Service Agreement Order No #______________
Cloud Service Agreement "[Cloud Service Agreement] between [Customer] and [Provider] dated as of [Effective Date]"
Order Date
Subscription Start Date
This Order is for the purchase of a subscription to the Cloud Service and Professional Services set forth below. Provision of the Cloud Service and all Professional Services set forth herein is subject to the Cloud Service Agreement referenced above. Capitalized terms not defined in this Order have the meanings given in the Cloud Service Agreement.
CLOUD SERVICE
Name Subscription Term (months) Users* Permitted Use Restrictions (if any) Fees (per month)
$
$
Total: $
*User types are defined [as follows: _______________] [at this link]
PROFESSIONAL SERVICES
Professional Services* Description Fees
$
$
Total fees due on Order Date: $
*Scope and timing as described in separate SOW.
BILLING TERMS
Cloud Service Fees Invoiced in advance, beginning on the Subscription Start Date

Frequency: Monthly, Annually or Other: _________________
Professional Services Fees Invoiced on the Order Date
INVOICES
Invoice To:

Invoice Contact Name:

Invoice Address:

Invoice Email:

Customer Support Contact:
PO Required on Invoice: Yes or No

If yes, PO #:_____________
Agreed to as of the Order Date by each party's authorized representative:
Customer: Provider:
Signature:

Name and Title:

Company:

Notice Address (choose one or both):

Email:

Postal mail:

Date:
Signature:

Name and Title:

Company:

Notice Address (choose one or both):

Email:

Postal mail:

Date: