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Tax ID <br />* indicates required fields <br />2. Notices and online administrator. <br />This individual receives contractual notices. They are also the online Administrator for the Volume <br />Licensing Service Center and may grant online access to others. <br />N Same as primary contact <br />Name of entity* <br />Contact name *: First Last <br />Contact email address* <br />Street address* <br />City* <br />State* <br />Postal code* <br />Country* <br />Phone* <br />❑ This contact is a third party (not the Registered Affiliate). <br />identifiable information of the Registered Affiliate. <br />* indicates required fields <br />3. Language preference. <br />Select the language for notices. English <br />5. Reseller information. <br />Reseller company name* CompuCom'Systems, Inc. <br />Street address (PO boxes will not be accepted)*' 7171 <br />City* Dallas <br />State* Texas <br />Postal code* 75230 -2306 <br />Country* United States <br />Contact name* Bruce Valentin <br />Phone* 972 =856 =2064 <br />Contact email address* msadmin @compucom.com <br />indicates required fields <br />The undersigned confirms that the information is correct. <br />Name of Reseller *`Co„mpuCo /m Systems, Inc. <br />Signature* <br />Printed name* Bruce E. Valentin <br />Printed title* Microsoft Licensing Specialist <br />Date* 1,1Z i %cu <br />indicates required fields <br />Warning: This contact receives personally <br />Forest Lane <br />Changing a Reseller. If Microsoft or Reseller chooses to discontinue doing business with one another, <br />Registered Affiliate must choose a replacement Reseller. If Registered Affiliate or Resellers intends to <br />terminate their relationship, the initiating party it must notify Microsoft and the other party, using a form <br />provided by Microsoft at least 90 days prior to the date on which the change is to take effect. <br />SelectPlus20l2ARFGov (US)SLG(ENG)(Oct2012) Page 2 of 3 <br />Document X20 -04921 <br />