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9 PERMITIUM <br />Professional Services: <br />Professional Services <br />(subject to the attached Statement of Work) <br />List Price <br />Discount % <br />Total Professional <br />Services Fees <br />Standard Implementation & Onboarding <br />$2,000.00 <br />50% <br />$1,000.00 <br />Additional details relating to the scope of Professional Services have been included in the Statement of Work <br />attached as Appendix B. <br />TOTAL SUBSCRIPTION AND PROFESSIONAL <br />$4,600.00 <br />SERVICES FEES PAYABLE BY CUSTOMER: <br />Additional terms and conditions related to this Order Form (the "Order Form Terms") are set forth in Appendix A. <br />By signing this Order Form, I represent and warrant that the information provided is true and accurate, and I am <br />authorized to sign on behalf of Customer and bind Customer to the terms and conditions of this Order Form, <br />including the Order Form Terms and any documents attached to the Order Form or otherwise incorporated by <br />reference. This Order Form is effective as of the earlier of the date of signature below or the first service term <br />start date above (the "Effective Date"). <br />Customer <br />Signature: �y►-rc, rti i <br />Printed Name: GiA Y M Y6 X S <br />Title: SH6j? /rP <br />Date: h! - /— J1 <br />Signature: <br />Printed Name: <br />Title: <br />Date: <br />Permitium Signature: /P[JaX.., <br />Printed Name: Patrick Walker <br />Title: Sales Manager <br />Date: 3/21 /2025 <br />2 Permitium Confidential - v20250125 <br />