Form of Insertion Order



  
 Exhibit 10.21


									
	



	  		  				  	
	55 N. Water Street, STE #1; Norwalk, CT 06854	  		  	 	Status:                    	  	  	
	Ph: (203) 899-3100 | Fax: (408) 521-3150	  		  	 	Order Date:                     	  	  	
		  		  	 	Revision Number:     	  	  	
		  		  	 	Date:     -    -        	  	  	
		  	Kayak Insertion Order:                       
              	  				  	

  
  

Insertion Order Details 

 


							
	Customer IO/PO #	 	:	 	  
	  	
	Agency	 	:	 	  
	  	
	Advertiser:	 	:	 	  
	  	
	Client Campaign	 	:	 	  
	  	




					
	 Contract Total Spend :
	  	  
	  	


					
	 Flight Dates:
	  	  
	  	





 

 IO Contact: 
  

			
	Company Name :	 	  



			
	Sales Contact :	 	  



			
	Title:	 	  



			
	Email :	 	  



			
	Phone :	 	  



			
	Fax :	 	  



			
	Street Address :	 	  



			
	City :	 	  



			
	State :	 	  

	Zip Code :	 	  



 



 Bill To: 
  

			
	 Company Name: 
	 	  



			
	 Attention:
	 	  



			
	 Title:
	 	  



			
	 Email:
	 	  



			
	 Phone:
	 	  



			
	 Fax:
	 	  



			
	 Street Address:
	 	  



			
	 City/State:
	 	  



			
	 Zip:
	 	  



 


 Kayak Sales Contact: 
  

			
	 Contact:
	 	  



			
	 Title:
	 	  



			
	 Email:
	 	  



			
	 Phone:
	 	  



			
	 Fax:
	 	  


 Kayak Trafficking & Billing Contact: 
  

			
	 Contact:
	 	  



			
	 Email:
	 	  



			
	 Phone:
	 	  





 Flight Dates 

																	
	Start    	  	End    	  	Property(ies)/Product/Ad Size	  	Vertical/Targeting Type/Target	  	Quantity  	  	Cost Model  	  	Rate  	  	Spend
	
         
  
	  	          

 
	  	
                         
                               

 
	  	
                         
   
  
	  	          

 
	  	             

 
	  	          

 
	  	
            

 

	 	  	 	  	 	  	 	  	 	  	 	  	 	  	Total:     
     

 Legal Terms and Conditions: 

 

	
	Except as expressly set forth in the Modified or Additional Terms section below, this Insertion Order is a
contract governed by law and by the Standard Terms and Conditions for Internet Advertising for Media Buys of One Year or Less v 2.0 (the “IAB Terms”) which terms are set forth below in full. If there is a conflict between the Modified or
Additional Terms set forth below and the IAB Terms, the Modified or Additional Terms shall govern.

 Modified or Additional Terms:

  

			
	Bill Terms: Kayak Software Corporation	  	Payment Terms: Net 30
	Termination: Either Kayak or Agency / Advertiser may terminate this Insertion Order with 30
days prior written notice.	  	Legal Terms: Kayak Software Corporation
	Links tracking activity generated by email products will be
live for the duration of the promotion period or for 14 days after the date on which the promotion is launched, whichever is shorter.	  	Advertiser understands that Suite of Products (SOP)
clicks will be delivered via either the Deals section and/or the Weekly Email Newsletter at Kayak’s sole discretion.


Notes: 
  

	
	 
	 


 

									
	Agency / Advertiser Authorized Signature:	  	  
	  	Date:	  	  
	 	
					
	Kayak Software Corporation Authorized Signature:	  	  
	  	Date:	  	  
	 	

 Email the signed agreement to contracts@kayak.com