Fill and Sign the Electronic Form

NETGATEWAY ECOMMERCE SERVICES ORDER FORM CUSTOMER NAME: ICHARGEIT.COM, INC. FORM DATE: OCTOBER 1, 1999 FORM NO.: 001 GENERAL INFORMATION: 1. By submitting this eCommerce Services Order Form ("Form") to Netgateway, Subscriber hereby places an order for the eCommerce Services described herein pursuant to the terms and conditions of the Electronic Commerce Services Agreement between Subscriber and Netgateway (the "ECS Agreement"). 2. Billing will commence on the Operational Date set forth below or the date that Subscriber first begins to process transactions through the Netgateway Internet commerce Center, whichever occurs first, or as otherwise provided herein. 3. Netgateway will provide the eCommerce Services pursuant to the terms and conditions of the ECS Agreement, which incorporates this Form. The terms of this Form supersede, and by accepting this Form Netgateway hereby rejects, any conflicting or additional terms provided by Subscriber in connection with Netgateway's provision of the eCommerce Services. If there is a conflict between this Form and any other Form provided by Subscriber and accepted by Netgateway, the Form with the latest date will control. 4. Netgateway will not be bound by or required to provide eCommerce Services pursuant to this form or the ECS Agreement until each is signed by an authorized representative of Netgateway. SUBSCRIBER HAS READ, UNDERSTANDS AND HEREBY SUBMITS THIS ORDER. Submitted By: /s/ Jesse Cohen Operational Date: 10/31/99 ----------------------- ---------------- (AUTHORIZED SIGNATURE) Print Name: Jesse Cohen -------------------------- Title: CEO ------------------------------- NETGATEWAY ACCEPTANCE (illegible) Date: 10/8/99 - -------------------------------------- ---------------------------- (AUTHORIZED SIGNATURE)