DocuSign Envelope ID: E4A2C4F9-7BFF-4FDB-8F51-76FB0DD5EF87
Sales Approved: Kevin O'Keefe Initial: Sales Approved:
Initial:
Customer: KENTUCKY STATE UNIVERSITY Signature: BLACKBOARD INC. Signature:
Name: Title: Date: Name: Michael Pohorylo Title: Deputy General Counsel Date: January 16, 2023
Blackboard does not require a PO for the purchase or payment of the products on this Order Form. If your organization requires a PO in addition to this signed contract, please provide all known information here. If a PO will be issued after signature, indicate 'Pending' in the PO Number field. PO Number: PO Amount: Attach PO or send PO to Operations@blackboard.com(Optional): Attach Tax Exemption (Optional):
Invoicing Send Invoices via email to: 1. Name: 2. Name: 3. Name: Email:
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