By the execution of this Order Form, each party represents and warrants that it is bound by the signature of its respective signatory. The Agreement, as amended by this non-cancelable Order Form, remains unchanged and in full force and effect. In executing this Agreement, Client has not relied on the availability of either any future version of any software or any future software product or service.

Ellucian

Client

By: _____

By: _____

Print Name: ___

Print Name: ___

Title: ___

Title: ___

Date Signed: ___

Date Signed: ___

The last date of signature is the “Execution Date” of this Order Form. Client's Billing Contact Information appears below.

Client Billing Contact Information

Name: _____

Address: ___

City, State ZIP: ___

Email Address: ___

PO# (if applicable): ___

Prices quoted are valid through the Close Date identified above. If printed, please sign and date this document, then scan and return to ordermanagement@ellucian.com.