Skip to content

Visionify Order Form

Order Form No: ________
Date: __________

This Order Form is issued under and governed by the terms of the Visionify Customer License Agreement (CLA), available at https://legal.visionify.ai/cla, between Visionify Inc. ("Provider") and the customer named below ("Customer"). By signing below, Customer agrees to purchase the Services listed in this Order Form, subject to the terms specified herein and in the CLA.


1. Customer Information

Field Details
Legal Business Name
Contact Person
Title/Position
Business Address
City, State, ZIP
Phone Number
Email Address

2. Service Details

Deployment Model

  • Visionify Cloud
  • Visionify Hybrid (Edge + Cloud)
  • Visionify Edge Only

Subscription Term

  • Monthly Subscription
  • 1-Year Agreement
  • 3-Year Agreement

Camera Details

Location Name Number of Cameras Camera Types/Models
x
Total Number of Cameras: _______

3. Billing Information

Payment Terms

  • Payment Due: Net 30 days from date of invoice
  • Billing Frequency:
    • Monthly
    • Quarterly
    • Annually
  • Currency: USD

Contract Period

  • Start Date: __________
  • End Date: __________

4. Additional Terms

  1. Renewal: This agreement will automatically renew for an additional 12-month term unless canceled in writing 30 days prior to term end.
  2. Price Adjustments: Renewal pricing may be subject to an annual increase of up to 5%.
  3. Early Termination: Early termination fee means 100% of remaining contract value.
  4. Service Changes: Any modifications require an additional Order Form or Change Order.

5. Authorization

By signing below, both parties agree to the terms and conditions outlined in this Order Form and the associated Customer License Agreement.

Party Customer Visionify
Name
Title
Date
Signature

Related Documents: - Customer License Agreement - Terms of Use - Privacy Policy - Support Policy