SUBSCRIPTION ORDER FORM · EXHIBIT A TO MASTER SERVICES AGREEMENT
getmembrain.ai · [email protected]
Patent pending #64/062,331 · Charlotte, NC
Customer Information
Commitment Term
Payment Frequency
Subscription Components
ComponentQtyUnit rateMonthly
Platform fee
Unified AI governance gateway
 — $1,499/mo $1,499.00
AI integrations
Per connected AI provider / connector
1
$69/mo $69.00
Active users
Per governed identity, deduped
$700.00
— $199/mo —
Pricing Summary
Monthly total
$2,268.00
recurring /month
First invoice
$2,268.00
monthly billing
Committed value
$27,216.00
12-month term total
★3-year commitment saves vs. list over the term
Auto-renews for successive 12-month terms unless either party gives 60 days written notice before term end. Customer may cancel renewal; no early-termination fee applies.
Electronic Signature
By signing below, you consent to conduct this transaction electronically under the ESIGN Act and UETA. Your electronic signature is legally binding to the same extent as a handwritten signature. A copy of this signed order will be sent to your email and stored in your membrAIn account under Documents.
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I agree to the Terms of Service, Master Services Agreement, and the subscription terms above, including automatic renewal at a 10% rate increase unless written cancellation is provided at least 30 days before term end. I confirm I have the authority to bind my organization to this order.
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getmembrain.ai · [email protected] · Patent pending #64/062,331
Pricing effective June 2026 · Subject to Master Services Agreement terms