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Optional fo Customer signature or outsourcer signature (if applicable) <br />Name of Entity (must be legal entity narne)* <br />Signature* <br />Printed First and Last Name* <br />Printed Title* <br />Signature Date* <br />field <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 />include the appropriate form(s) with this signature form. <br />After this signature farm is signed by the Customer, send it and the Contract Documents to Customers <br />channel partner or Microsoft account manager, who must submit them to the following address. When <br />the signature form is fully executed by Microsoft, Customer will receive a confirmation copy. <br />Microsoft Licensing, GP <br />Dept. 551, Volume Licensing <br />6100 Neil Road, Suite 210 <br />Reno, Nevada 89511-1137 <br />USA <br />ProgramSign Form (M5Si9n)(NA,LatArr)ExBRA,MLI (ENG)(oc=12) <br />Page 2 of 3 <br />