Business Connection Application

BUSINESS CONNECTION APPLICATION

RECITALS

WHEREAS, Applicant Name: is engaged in the business described in this Application and seeks an established business connection for referrals, introductions, or strategic collaboration with Business Connector: ;

WHEREAS, the parties intend to describe the proposed scope, financial terms, confidentiality obligations and the process by which the parties will evaluate and effectuate a business connection under the terms set forth in this Application and the resulting Agreement if accepted.

APPLICANT BUSINESS INFORMATION

Corporation    LLC    Partnership    Sole Proprietor

PROPOSED CONNECTION / SCOPE OF WORK

Brief description of the intended business connection, referrals, introductions, deliverables and performance expectations. Provide sufficient detail to permit assessment of fit and obligations.

PAYMENT TERMS

Applicant agrees to the compensation structure described below in consideration for services, introductions, and business development activities provided by Business Connector. Amounts and schedules shall be binding if accepted in writing by both parties.

Invoices not paid when due shall accrue interest as specified above and the Business Connector may suspend services until amounts due are paid in full. Fees do not include applicable taxes unless otherwise stated.

TERM AND TERMINATION

This Application, if accepted and executed as an Agreement, shall commence on Start Date: and shall continue through End Date: unless sooner terminated as provided below.

Either party may terminate for convenience upon Written Notice Period (days): days prior to the intended termination date. Either party may terminate immediately for material breach that remains uncured for a period of 15 days after written notice of such breach.

Termination shall not relieve the Applicant of its obligation to pay fees for services provided through the effective date of termination, nor shall it relieve either party of obligations that by their nature survive termination, including confidentiality and indemnification provisions.

CONFIDENTIALITY

Each party acknowledges that during the evaluation and performance of the connection, it may receive confidential and proprietary information ("Confidential Information") of the other party. Confidential Information includes non-public financial information, customer and prospect lists, pricing, business plans, technical data, methods, trade secrets and other information designated as confidential or that reasonably should be understood as confidential.

Each party agrees (i) to use Confidential Information solely for the purposes contemplated in this Application and any resulting Agreement; (ii) to restrict disclosure of Confidential Information to those employees, agents, advisors and contractors with a need to know who are bound by confidentiality obligations no less protective than those herein; and (iii) to take reasonable measures to protect the confidentiality of such information. Confidential Information shall not include information that is publicly available without breach, lawfully obtained from a third party, independently developed, or required to be disclosed by law or court order, provided that the disclosing party is given prompt notice and an opportunity to seek protective relief.

GOVERNING LAW; DISPUTE RESOLUTION

This Application and any resulting Agreement shall be governed by and construed in accordance with the laws of the State specified for governing law: without regard to its conflicts of law rules. The parties shall attempt in good faith to resolve disputes through negotiation; if unresolved, disputes shall be resolved by binding arbitration in the county of the Business Connector's principal place of business, unless otherwise agreed in writing.

ENTIRE AGREEMENT; AMENDMENT

This Application, together with any attachments, schedules and any subsequently executed written Agreement, constitutes the entire agreement between the parties with respect to the subject matter hereof and supersedes all prior and contemporaneous proposals, understandings, negotiations and agreements, whether oral or written. No amendment, modification or waiver shall be effective unless set forth in a written instrument signed by authorized representatives of both parties.

REPRESENTATIONS AND CERTIFICATIONS

The undersigned certifies that the information provided in this Application is true and correct to the best of their knowledge, that they have the authority to bind the Applicant, and that Applicant will comply with the terms set forth herein if a connection is accepted. Applicant further certifies that it is not aware of any facts or circumstances that would make the proposed connection unlawful or contrary to third-party contractual obligations.

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