Business Checkout Form

BUSINESS CHECKOUT FORM

Parties & Transaction Identifiers

Business Name:

Client Name:

Checkout Number:     Date of Checkout:

Recitals

WHEREAS, the Business operates a commercial enterprise providing goods and services as described herein and the Client desires to purchase such goods and/or services under the terms set forth in this Checkout Form;

WHEREAS, the Business has provided the Client with an itemized estimate of goods, services, and applicable fees, and the Client accepts that estimate subject to the terms and payment obligations contained in this document;

NOW, THEREFORE, in consideration of the mutual covenants contained in this Checkout Form, the parties agree as follows.

Scope of Work / Order Summary

Describe goods, services, delivery or performance expectations. Use additional sheets if necessary.

Subtotal: $     Tax (if applicable): $     Shipping or Handling: $

Total Amount Due: $

Payment Terms

Payment Method (select applicable): Credit Card Check Wire/Bank Transfer Cash

Late Payment Fee:     Returned Payment Fee:

Term and Termination

Term Commencement:

Term Expiration (if applicable):

Termination Notice Period: (written notice required)

Upon termination, Client remains responsible for payment for goods delivered and services performed through the effective date of termination, and for any non-cancellable third-party obligations incurred by Business on Client's behalf.

Confidentiality

Each party shall treat as confidential all materials and information disclosed by the other party that are identified as confidential or would reasonably be understood to be confidential. Confidential information shall not include information that is or becomes generally available to the public other than by breach of this agreement, or information lawfully obtained from a third party without confidentiality obligation. The recipient shall use confidential information solely to perform obligations under this Checkout Form and shall not disclose it to third parties except to its employees, agents or professional advisors with a need to know and who are bound to maintain confidentiality.

Representations & Warranties; Indemnity

Each party represents that it has full corporate power and authority to enter into and perform this Checkout Form. Client agrees to indemnify and hold harmless Business from any claims arising from Client-supplied materials, third-party content, or Client's failure to comply with applicable law in connection with Client's use of goods or services.

Governing Law

This Checkout Form shall be governed by and construed in accordance with the laws of the State of , without regard to its conflicts of law principles. Venue for any dispute shall be in the courts of that State.

Entire Agreement

This Checkout Form, together with any documents expressly incorporated by reference and any written attachments signed by the parties, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous agreements, proposals, and communications, whether oral or written. Any amendment must be in writing and signed by authorized representatives of both parties.

Certifications & Notices

By executing below, the undersigned certify that they have authority to bind the respective party and that the information provided in this Checkout Form is true, complete and accurate to the best of their knowledge. Client acknowledges receipt of a copy of this signed Checkout Form upon execution.

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