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Mjcrpsoft Affiliate, <br /> Microsoft Licensing,4P <br /> r <br /> Signature <br /> Printed First and Last Name Microsoft Licensing,GP <br /> Printed Title JUL 2 3 2013 <br /> Signature Date <br /> (data Mlcrosoft Affillato countomlons) Anthony Dulaney <br /> Effective Date �i M icrasoff Licensing,GP <br /> (may be different than Microsoft's signature date) <br /> Optional rd Customer signature or Cutsourcer signature(if applicable) <br /> Name of Entity(must be legal ontity name)* <br /> signatute* <br /> Printed First and Last Name* <br /> Printed Titio" <br /> signature Date* f <br /> *lndicate3s requit3d field <br /> outsourcer <br /> Name.of Entity(mutt be legal entity name)" <br /> Signature' <br /> Printed-I"irat and Last Name* <br /> Printed Title* <br /> Signattre,DaW <br /> "inctfc I required field <br /> If Customer requires physical media, additional contacts, or is reporting multiple previous Enrollments, <br /> Include the appropriate fonn(s)with this signature form. <br /> After this signature form is signed by the Customer, send It and the Contract poauments to Customer's <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 fa confirmation capY- <br /> Microsoft Licensing,GP <br /> Dept, 551,Volume Licensing <br /> 6100 Neil Road,Suite 210 <br /> Reno, Nevada 89511.1137 <br /> USA <br /> ProgramslgnForm(MS$Ign)(NA,LatAm)ExerA,MLI(F.NG)(oct2'O12) Page 2 of 3 <br />