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Microsoft Corporation <br />Signature <br />` T <br />Printed First and Last Name <br />Microsoft COM <br />Printed Title <br />AUG 2 3 <br />Signature Date <br />(date IAlc:esoRAfhlialc Couglelsig9sl <br />I Chance <br />Agreement Effective Date I /��) 1 0 I of DUIy AUoso, ed <br />p� `1 Mthor <br />(nay be d%erent than IAI.�alt s s:ynatore date) I r 1C1 WQ- CO <br />I! <br />Optional 2n'r Customer signature <br />or Olnsourrer signature (if applicable) <br />Name of Entity (must be legal entity name)" <br />Signature" <br />Printed First and Last Name" <br />Printed Title <br />I <br />Signature Date' <br />Name of Entity (must be legal entity name)' <br />Signature" <br />Printed First and Last Name' <br />Printed Title <br />Signature Date' <br />"Indicates required field <br />If Customer requires physical media, additional contacts, or is reporting multiple previous Enrollments, <br />InolUde (he approprialo form(s) with this signature form. <br />Afterthis signature form is signed by the Customer, send it and the Contract Documents to Cuslonter's <br />channel pariner or, Micosofl account manager, who must submil them to the following address. When <br />the signature form is fully executed by Microsoft, Customer will receive a confirmation copy. <br />Microsoft Corporation <br />Dept. 551, Volume Licensing <br />6100 NO Road, Suite 210 <br />Rene, Nevada 80511.If37 <br />USA I <br />PrelnamSi�nrerm(:d45ian1jMA.l wA.m)FwHRA.hll lrFNGIJAeg.ntdl 1'a[lo 2 of 2 <br />of <br />