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State/Province" WA <br />Postal code" 98926- <br />(For U.S. addresses, please provide the zip + 4, e.g. xxxxx-xxxx) <br />Country* USA <br />Phone* 509-962-7510 <br />Tax ID 91-6001349 . <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 o nllne access· to others, and (S) Is authorized ta order Reserved Ucenses for ellglbl e <br />Online Servies , · including adding or reasslgnlng Libenses and stepping-up prior to a true-up <br />order. <br />D Same as primary contact (default if no information is provided below, even if the box is <br />not checked). <br />Contact name• First BUI Last Davis <br />Contact email address* bill.davis@co.kittitas.wa.us <br />Street address" 205 W 5th AVE STE 13 <br />City'* Ellensburg , <br />State/Province* WA J ... <br />Postal code* 98926-. -~ _ ~ ;,,..-, ·· ~ c., ~-)· <br />(For U.S. addresses, please provide the zip + 4, e;g .,X>O<XX->O®( f.gJ~ ~ <br />C C. USA . :-;., . -ountry :-a ·-=-· · · .,; "''--t <br />h * 509 96 •' -.• . ' 'i ""' • • P one -. -· ~ ,'. 41. ••• .:...,} ·. , · ' • <br />Language ,P-..,. ~ .Choos.e the language for,QPt!Cei1. ·engl,\!fi'..,,.;. · !"~ D Th i&tte~~a thlra party {npt th§t'E'l)r~led7Atfilla il~~si:' . I ~ .: . ' ii/es <br />~-~~rfatlffuliit!lfat:lJe lnto,w.ati . o_t,e ~~nier ~'h,its'iffl~!IJ,r_'\ ·. r. ;' . .}~' . <br />-¢!(J'd1cates reqwredfields ;~. 't ·:i , · .. · ~.=~ f · .i ·J <br />c. Online Services Manager. Thi 'f'b d?,,Pl _ i~a~bo~~~~~ge ' th~ O~;ine Servi~es <br />o~dered under the Enr_ollmenl and· (~~lf,e:lii~!~ QQll111~~-Sprv1ces) to add or reassign <br />Licenses and step~up prior to a true-up o~.;.r. ' '' •· , <br />. ·~ .i. i-> . " 18] Same.as nptic~ contact. and Online Administrator (default if no information is provided <br />below; eve~ if box ls not checked) .. <br />~$~tact name*: First Last .. .. " ... <br />-• • <br />1 <br />• -Contact email address* <br />"'., Phone• ~ . ~ O This contact is from a third party organization (not the entity). Warning: This contact <br />receives personally identifiable information otthe entity. <br />* indicates required fields <br />d. Reseller information. Reseller contact for this Enrollment is: <br />Reseller company name* CDW Logistics, Inc. <br />Street address (PO boxes will not be accepted)· 200 N. Milwaukee Ave. <br />City'* Vernon Hills <br />State/Province* IL <br />Postal code* 60061 , <br />Country* USA <br />Contact name* Aubrey Styles <br />Phone* 262-237-3805 <br />Contact email address* aubrey.styles@cdw.com <br />" indicates required fields <br />EA2016EnrGov(US)SLG(ENG)(Nov2016) Page 9 of 10 <br />Document X20-10634