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City* Santa Ana <br />State /Province* CA <br />Postal code* 92701-4058 <br />(For U.S. addresses, please provide the zip + 4, e.g. xxxxx -xxxx) <br />Country* USA <br />Phone* 714-647-6958 <br />Tax ID <br />* indicates required fields <br />b. Notices contact and Online Administrator. This contact (1) receives the contractual <br />notices, (2) is the Online Administrator for the Volume Licensing Service Center and may <br />grant online access to others, and (3) is authorized for applicable Online Services to add <br />or reassign Licenses, step -up, and initiate Transitions prior to a true -up order. <br />❑ Same as primary contact (default if no information is provided below, even if the box <br />is not checked). <br />Contact name* First Sam Last Andrews <br />Contact email address* sam.andrews @compucom.com <br />Street address* 7171 Forest Lane <br />City* Dallas <br />State /Province* TX <br />Postal code* 75230 -2306 <br />(For U.S. addresses, please provide the zip + 4, e.g. xxxxx -xxxx) <br />Country* USA . <br />Phone* 818 -988 -2195 <br />Language preference. Choose the language for notices Engiisl <br />® This contact rsj?b third party (not the,Enrolled Affiliate), Wainir <br />personally identif{We Information of the.Customer and its Affiliate <br />* indicate. re`q#llred`fielrls <br />c. Online Services Managor. This- �gontact-s authorized to mans <br />ordered under the Enrollment- 'and.,'(for applicable Online Servi( <br />Licenses, step -up, and initiate Transitions prior to a true -up order. <br />❑ Same as notices contact and Onlihe Administrator (defe <br />provided below, even if box is not checked).,'., - <br />Contact name *; First Tom Last Gergen <br />Contact email address* tgergen @santa- ana.org <br />Phone* 714 -647 -6958 <br />-. ❑ This contact is from a third party organization (not the entity). <br />receives personally identifiable information of the entity. <br />* indicates required fields <br />d. Reseller information. Reseller contact for this Enrollment is: <br />This wintact receives <br />ie the Online Services <br />as) to add or reassign <br />ilt if no information is <br />Warning: This contact <br />Reseller company name* CompuCom Systems, Inc <br />Street address (PO boxes will not be accepted)* 7171 Forest Lane <br />City* Dallas <br />State /Province* Texas <br />Postal code* 75230-2306 <br />Country* United States <br />Contact name* Bruce Valentin <br />Phone* 972-856-4617 <br />Contact email address* msadmin @compucom,com <br />*indicates required fields <br />EA2013EnrGov (US)SLG(ENG)(Oct2013) Page 8 of 9 <br />Document X20 -10631 <br />