Aethelis Order Form
DRAFT — FOR LEGAL REVIEW
Customer
Legal name:
Address:
Primary business contact:
Billing contact:
Aethelis
Contracting entity:
Address:
Primary contact:
Engagement
Engagement type:
- Design partner
- Pilot / evaluation
- Commercial deployment
Start date:
End date / subscription term:
Authorized scope
Organization:
Authorized use case:
Environment:
Authorized users or user limit:
Expected data categories:
Excluded or prohibited data:
Services
Aethelis services included:
Optional services:
Support scope:
Commercial terms
Fees:
Billing frequency:
Payment terms:
Approved expenses, if applicable:
Taxes:
Evaluation success criteria
Complete for pilot/evaluation engagements.
Objective:
Measurements:
Evidence to be reviewed:
Review date:
Decision process following evaluation:
Security and data requirements
Applicable security requirements:
Data Processing Addendum required:
- Yes
- No
- To be determined
Additional approved requirements:
Special terms
Insert negotiated engagement-specific terms here.
Incorporated agreements
Identify applicable documents, such as:
- Pilot / Evaluation Agreement; or
- Master Services Agreement;
- Data Processing Addendum, if applicable;
- other expressly incorporated documents.
Signatures
CUSTOMER
Name:
Title:
Signature:
Date:
AETHELIS
Name:
Title:
Signature:
Date:
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Legal review required before execution.