Site Registration Form

SITE REGISTRATION FORM

RECITALS

WHEREAS, Registrant: seeks to register and obtain access to the Site described below for the purposes set forth in this registration;

WHEREAS, Site Administrator: administers the Site and provides access subject to the terms and conditions of this form; and

WHEREAS, the parties desire to set forth the registrant information, scope of authorized activities, payment obligations and other terms governing access and use of the Site.

REGISTRATION DETAILS

Individual Corporation LLC Partnership

PRIMARY CONTACT

SCOPE OF WORK

PAYMENT TERMS

Registration Fee Amount: $ — Payment Schedule:

Late Payment: Unpaid amounts shall accrue interest at and a flat late fee of $ for each overdue invoice. Registrant is responsible for reasonable collection costs and attorneys' fees incurred by Site Administrator in collecting past-due amounts.

TERM AND TERMINATION

Term Commencement Date: — Term Expiration Date:

Either party may terminate this registration for material breach if the breaching party fails to cure the breach within days after written notice. Site Administrator may suspend access immediately for threats to safety, security breaches, or violations of law. Survival: payment obligations, confidentiality, indemnity and limitation of liability survive termination.

CONFIDENTIALITY

Registrant and Site Administrator each acknowledge that in connection with this registration they may receive Confidential Information. "Confidential Information" means non-public information disclosed in any form that is designated confidential or that a reasonable person would understand to be confidential. Each party shall (a) use Confidential Information solely to perform its obligations under this registration; (b) restrict disclosure to employees and contractors with a need to know and who are bound by equivalent confidentiality obligations; and (c) return or destroy Confidential Information upon written request or termination of the Term. Exclusions: information that is publicly available, already in possession, independently developed, or required to be disclosed by law is not Confidential Information.

INDEMNIFICATION AND LIMITATION

Registrant shall indemnify, defend and hold harmless Site Administrator from and against any claims, damages or liabilities arising out of Registrant's activities at the Site, including third-party claims, except to the extent caused by Site Administrator's gross negligence or willful misconduct. Except as to liabilities for willful misconduct or personal injury, in no event shall either party be liable to the other for consequential or punitive damages.

GOVERNING LAW

This registration and any dispute arising under it shall be governed by the laws of the state in which the Site Administrator's principal place of business is located, without regard to conflict of law principles. The parties agree to submit to the exclusive jurisdiction of state and federal courts located in that state for purposes of dispute resolution.

ENTIRE AGREEMENT

This Site Registration Form, together with any attachments executed by the parties, constitutes the entire agreement between the parties with respect to the subject matter and supersedes all prior understandings and agreements, whether written or oral. Any modification must be in writing and signed by authorized representatives of both parties.

By checking the box below and signing, Registrant represents and warrants that the information provided is true and complete, that Registrant has authority to bind the registering entity, and that Registrant accepts and will comply with all terms and conditions set forth in this Site Registration Form.

I acknowledge and agree to the terms, including the Confidentiality, Payment and Indemnification provisions above.

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