Subscription Agreement For Purchase Of Bulk Data

COOPERATIVE AUTHORITY 1875 Century Blvd, Suite 100, Atlanta, GA 30345 Office: 404.327.9058 267 Fax: 404.327.7877 267 http://www.gsccca.org UCC Central Index System - Bulk Data Price List for Download/Transfer Frequency P rice Daily $200.00 per day Weekly $750.00 per week Monthly $1,500.00 per month Yes, I want to purchase the Authority's UCC index database on a daily / weekly/ monthly (circle one) basis at a cost of $ per month. My check for the first month is enclosed and I understand that I will be billed on a monthly basis for my subscription. To subscribe, please complete the information below and return with your check for the first month's payment to: Georgia Superior Court Clerks' Cooperative Authority, Attn: Mike Smith, at the address below. Upon receipt of your signed agreement and check, we will immediately process your database request. The A uthority will continue to bill you on a monthly basis. Company Name Contact Person Email Billing Address City State Zip Phone Fax Authorized Signature Date American LegalNet, Inc. www.FormsWorkFlow.com