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' Board® P.O. Box 400, Austin, Texas 78767 <br />F800.695.2919 • buyboard.com <br />WHEREFORE, the parties, acting through their duly authorized representatives, accept this Agreement. <br />NATIONAL PURCHASING COOPERATIVE: <br />Bv: <br />Dan Troxell, Ph.D. <br />Assistant Secretary <br />Date: <br />COOPERATIVE MEMBER: <br />[Signature required unless accepted as an Amendment by Notice as described in the Agreement.] <br />(Government Entity Name) <br />Date: <br />Signature of authorized representative of Cooperative Member <br />Printed name and title of authorized representative <br />Coordinator for the Cooperative Member is: <br />Name <br />Title <br />Mailing Address <br />City <br />State Zip Code <br />Telephone <br />Fax <br />Email <br />(Revised by the Cooperative Board of Trustees on August 9, 2023.) Page 7 of 7 <br />