Customer Order Form (Direct)
Order Form No.: ____________ Order date: ____________
This Order Form is entered into under, and incorporates, the BankConnector Customer Agreement and the Policies published at bankconnector.com/legal, version as of the Order date. Defined terms have the meaning given there.
1Parties
| BankConnector | Customer | |
|---|---|---|
| Legal name | BankConnector ApS | ____________ |
| Reg. no. | CVR ____________ | ____________ |
| Address | ____________ | ____________ |
| Commercial contact | ____________ | ____________ |
| Technical contact | ____________ | ____________ |
| Invoicing email | n/a | ____________ |
2Services ordered
| Item | Included |
|---|---|
| Production workspace (one company) | ☐ |
| Sandbox environment (Limited Release, full term) | ☐ |
| Bank connections included | ______ connections |
| Users included | ______ users |
| Payment volume included | ______ payments / month |
| Additional services (if any) | ____________ |
Planned banks and channels (informational, non-binding): ____________
3Fees
All fees are exclusive of VAT, invoiced per the Customer Agreement (payable within 30 days). Fees are never deducted from payment flows.
| Fee | Amount | Cadence |
|---|---|---|
| Implementation / onboarding fee | ______ | one-time |
| Platform fee | ______ | monthly / annually |
| Per-payment fee (within included volume: included) | ______ | monthly, in arrears |
| Additional bank connection | ______ | monthly |
| Additional users | ______ | monthly |
| Overage (payments beyond included volume) | ______ per payment | monthly, in arrears |
Invoicing currency: ______ First invoice date: ______
4Support
Support per the SLA & Support Policy (business days 09:00–17:00 CET, P0 emergency channel 24/7). Customer's named technical contact for P0/P1 incidents: ____________
5Term
| Start date | ____________ |
| Initial term | 12 months (unless stated otherwise: ______ ) |
| Renewal | Successive 12-month periods per the Customer Agreement, Section 8 |
6Special terms
Deviations from the Customer Agreement or Policies are valid only if stated here and expressly identified as an override:
____________
7Signatures
By signing, each party agrees to this Order Form and the incorporated Agreement and Policies.
| BankConnector ApS | Customer |
|---|---|
| Signature: ____________ | Signature: ____________ |
| Name: ____________ | Name: ____________ |
| Title: ____________ | Title: ____________ |
| Date: ____________ | Date: ____________ |