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Last Updated: January 14, 2026

U.S. Order Form

Affirm Party Name: Affirm, Inc. (“Affirm”)

Merchant Legal Name: As documented in a valid agreement between the Parties or such entity or other business organization that agrees to the terms and conditions hereof ("Merchant") 

1. Term. Three (3) years after the Effective Date (the “Initial Term”). Thereafter, this Order Form will automatically renew for successive one-year periods (each, a “Renewal Term”), unless either Party gives the other l at least 90 days written notice of non-renewal before the end of the current Term. The Initial Term and any Renewal Terms together constitute the “Term”; provided that if “Term” is otherwise defined in a valid agreement between the Parties, such provision will apply.

2. Integration and Merchant Channels. The Integration(s) and Channel(s) approved by Affirm in writing during the Term.

3. Territory. “Territory” means any state or territory, as applicable, within the United States authorized by Affirm. 

4. Fees. The Fee Schedule is referenced herein as Schedule 1. With respect to the Fees in Schedule 1, Fees are not refundable, or, if otherwise documented in a valid agreement between the Parties, refundability will be as provided in such agreement.

Schedule 1 

Fee Schedule

As agreed to by Merchant or such other valid agreement between the Parties.

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This Order Form is effective as of the date of acceptance by Merchant (the “Effective Date”) and is incorporated by reference into and governed by the Merchant Agreement located at https://www.affirm.com/terms/merchant-agreement. Capitalized terms not otherwise defined herein have the meanings ascribed to them in the Merchant Agreement.