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Microsoft Affiliate <br />l',lllcrosoft Cor~oratton <br />Printed Title <br />Signature Date <br />(dale Microsoft Affiliate countersigns) <br />I - . '' -==----- <br />Agree~;~t Effective Date O\f ,, l \ G;,- <br />' (may be different than Miaosoft's signature data) <br />Optional 2nd Customer signature or Outsourcer signature (if applicable) <br />' " <br />Customer <br />Name of Entity (must be legal entity name)• <br />r---·. <br />r. i <br />'1 <br />Signature•,. . ._.,.....,"""""-""~'°'==----~=--'==--.............. -----= ....... ------=--=:,:..____,==-----'--=~=·· <br />Printed First and Last Name* <br />· Printed Tltfe <br />~· -r. :: i-~ r. <br />Name of Entity (must be-legal entity nami)~ •· . \k ·t! · <br />Signature• . t.Y ~-. , . :* • ~-. <br />~--=::, I . '"* ,., .. ,~j <br />Printed First and 1:,11st Name* ,. <br />Printed TIUe <br />. ~ .. ~~~-ai~ t~H,riin•n•~ ~w- <br />--. -""· -~~ ·_-: requfred field <br />' 'l <br />ff Customer requires physical media, additlonal 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 />6100 Neil Road, Suite 210 <br />Reno, Nevada 89511-1137 <br />USA <br />ProgramSlgnForm(MSStgn)(NA,LatAm)ExBRA,MLl(ENG)(Aug2014) Paga 2of2 <br />-