Laserfiche WebLink
Optional 2nd Customer signature or Outsourcer signature (if applicable) <br />Name of Entity (must be legal entity name)* <br />Signature* <br />Printed First and Last Name* <br />Printed Title <br />Signature Date* <br />Name of Entity (must be legal entity name)* <br />Signature* <br />Printed First and Last Name* <br />Printed Title <br />Signature Date* <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 Contract Documents to <br />Customer's channel partner or Microsoft account manager, who must submit them to the following <br />address. When the signature form is fully executed by Microsoft, Customer will receive a confirmation <br />copy. <br />Microsoft Corporation <br />Dept, 551, Volume Licensing <br />5100 Neil Road, Suite 210 <br />Reno, Nevada 89511 -1137 <br />USA <br />t :re r .r <br />i <br />Program5i gnForm( MSSign)(NA,LatAm)ExBRA,ML11'l5, 02,Q" 9 Page 2 of 2 <br />