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Microsoft <br />Select Plus Affiliate Registration Form <br />Registration Type <br />Reseller to complete <br />Agreement Number <br />Microsoft or Reseller to complete <br />Qualifying Contract <br />Reseller to complete <br />Lead Afffiate ❑ <br />Additional Affiliate <br />7756479 <br />Volume Licensing <br />State and Local <br />Lead Affiliate Public Customer <br />Number (PCN) <br />Reseller to complete <br />Additional Affiliate Public <br />Customer Number (PCN) <br />Reseller to complete <br />Change Affiliate Anniversary <br />Month <br />Reseller to complete <br />A43515A8 <br />February <br />By registering, Registered Affiliate accepts and agrees to be bound by the terms of the agreement and <br />any applicable attachments (the "agreement'), and will be allowed to acquire Products in accordance with <br />the Agreement. <br />If Registered Affiliate registers as an Additional Affiliate, Registered Affiliate represents that the Additional <br />Affiliate is an eligible entity of the Lead Affiliate identified above. <br />This registration is valid when accepted by Microsoft and until it is terminated. Registered Affiliate will <br />receive an acceptance notification confirming the effective date of this registration. Microsoft may refuse <br />to accept a registration If there is a business reason for doing so Either party may terminate this <br />registration for any reason with - 60 days advance' written notice Termi- hating this =registration will <br />terminate the Registered Affj[late s ability to place Orders under the agreement: <br />Each Registered Affiliiate may qualify (or and receive additional benefits by electing Software Assurance <br />membership By electing Software Assurance membership, the Rai Isteref Affiliate "js.commi { }tng to <br />include Software Assurance with "every,eligit,16 Order. To make this election, complete and submit the <br />Select Plus Software Assurance Membership �leatlon Form <br />Qualifying systems Licenses. The operating sysem;Geenses granted under this-program are upgrade <br />Licenses only. Full operating system Licenses are not, available under this program. If Customer selects <br />the Windows Desktop Operating System Upgrade all quallfled desktops ortrtwhich the Customer runs the <br />Windows Desktop Operating System Upgrade must be licensed to run one of the qualifying operating <br />systems identified in the Product List at bqp //www microsoft com /Iicensinglcontracts. Exclusions are <br />s417}ect to chan'gewhen new versions of Windows are released. - <br />In order to use a third party to reimage the Windows Operating System Upgrade, Registered Affiliate must <br />certify that it has acquired qualifying operating system licenses. See the Product List for details. <br />Primary Contact Information. <br />Registered Affiliate must identify an individual from inside its organization to serve as the primary contact. <br />This contact is also an Online Administrator for the Volume Licensing Service Center and may grant <br />online access to others. <br />Name of entity* City of Santa Ana <br />Contact name *: First Tom Last Gergen <br />Contact email address* tgergen @santa - ana.org <br />Street address* 20 Civic Center Plaza <br />City" Santa Ana <br />State* CA <br />Postal code* 92701 -4058 <br />Country* United States <br />Phone* 714-647-6958 <br />SelectPIus2012AR FGOV(U S)SLG(FNG)(Oct2012) Page 1 of <br />Document X20 -04921 <br />