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optional 2"a Customer signature or 6utsouroor signature (if applicable) <br />Nameof Entity (must be legal entity name)" <br />Signatdre" <br />Printed rlrstand LastName" <br />Printad Title <br />Signature Date* <br />Name Of Entity (must_ Ge legal entity narmth <br />Signature* <br />Printed, Flmtand last Name" <br />Printed Title <br />Signaturo mate• <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 form is signed by the Customer, send it and the Conlract Documents to <br />Customers channel partner or Microsoft account manager, who must submit them to the fgilowing <br />address. When the signature form is fully executed by Microsofi. Customer will receive a confirmal'ion <br />copy. <br />Mtcrosoft Corporation <br />Dept, 561, Volume Licensing: <br />6100 Neil Road, Suite 210 <br />Mite, Nevada 89411.1137 <br />USA <br />ProgranrS1enFcmVSSi0n)( NA ,LarAdi)rkBRA,MLI(EN(3)(Ati92e14,) Page 2 o 2 <br />25C -25 <br />