Sales Approved:

Initial:

Customer: Kentucky State University

Signature:

Name:

Title:

Date:

Is a Purchase Order (PO) required for the purchase or payment of the products on this Order Form?

Yes - Please complete below

PO Number:

PO Amount:

Attach PO :

Blackboard Inc.

Signature:

Name: Bill Jones

Title: Deputy General Counsel

Date: August 15, 2018

2018 - BLACKBOARD PROPRIETARY AND CONFIDENTIAL (894581623-284833_CPII_8-22-2018 / R2018-057631-02 / 006390 Page 110 Aaf 218 3 of 4