ORDER FORMColorado • July 4th, 2013
Jurisdiction FiledJuly 4th, 2013This Customer Agreement including all of the terms and conditions attached to this cover page and the three page Order Form (collectively, the “Agreement”) is entered into as of the date that LifePics signs the Agreement (the “Effective Date”) by and between Customer and LifePics and governs the provision of all services and software by LifePics to Customer as set forth herein. By signing below, the parties, by their authorized representatives, have entered into this Agreement as of the Effective Date.