Order Form for Support and Additional Services

 

Service Provider:   [Name of Service Provider] [Address]

Customer   [Name of Customer] [Address]

This Order Form contains the order from the Customer stated above to the Service Provider for Support and/or Additional Services subject to the Terms and Conditions for Support and Additional Services. This Order Form constitutes a binding offer of the Customer.

The acceptance of this Order Form and any and all documents attached to or referenced in this Order Form by the Service Provider constitutes a legally binding Agreement between the Service Provider and the Customer based on the Terms and Conditions for Support and Additional Services.

Capitalized terms used in this Order Form shall have the meaning ascribed to them in the Terms and Conditions for Support and Additional Services.

By issuing this Order Form, you agree to pay the Fees for the Services stated and referenced below and further agree to the Terms and Conditions for Support and Additional Services and all annexes, exhibits, attachments, schedules and other documents attached to this Order Form or referenced therein or attached to or referenced in the Terms and Conditions for Support and Additional Services.

1. Additional Services

a) If applicable: Service package for Additional Services

Service	Price	Quantity	Discount	Price	Total

 

b) If applicable: Additional Services based on hourly/daily rates

Service	Price per hour/day	Quantity	Discount	Price per hour/day	Total

 

c) If applicable: Additional Services as specified in a SOW or comparable document

☐ Additional Services as per Statement of Work (SOW) attached.

d) Term for Additional Services

The Initial Term is:	[… months/years]
The Initial Term shall commence on the following date (Effective Date):	[DD.MM.YYYY]

 

 

2. Support

Please select	Support package	Additional provisions applicable
​​☐	Premium Support - Silver	Service Level Agreement (PSLA) for Premium Support
​​☐	Premium Support - Gold	Service Level Agreement (PSLA) for Premium Support
​​☐	Premium Support - Platin	Service Level Agreement (PSLA) for Premium Support

 

d) Term for Support Services

The Term is as follows:	12 months
The Term shall commence on the following date (Effective Date):	[DD.MM.YYYY]

 

 

3. Attachments and References

☐ SOW

☐ SLA for Premium Support (PSLA)

☐ DPA

☐ Terms and Conditions for Support and Additional Services

 

 

Signatures 

 

Customer:    Date: _______________      _____________________________  Name: […]  Title: […]  [Company Name]

Service Provider:   Date: _______________      _____________________  Name: […]  Title: […]  [Company Name]