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Optional 2"d Customer signature or Outsourcer signature (if applicable) <br />Name of Entity (must be legal entity name)* <br />Signature* <br />Printed First and Last tar e* <br />Printed Title <br />MMEM�� <br />required field <br />Name of Entit <br />y (must be legal entity name)* <br />Signature' <br />Printed First and Last Name' <br />Printed Title <br />Signature Date* <br />'Indicates PN-uiredfilefd .................... -1-11-111-1 <br />If Customer requires physical media, additional contacts, or is reporting multiple previous Enroliments, <br />Include the appropriate ton(s) with this signature form. <br />After this signature form is signed by the Customer, send it and the Contract Docurnents to Customer's <br />channel partner or Microsoft account manager, who must submit them to the following a-ddress, V, hen <br />the signature form is fully executed by Microsoft, Customer will receive a confirmation copy, <br />WA <br />crosoft Corporation <br />Dept. 551, Volume Licensing <br />6100 Neil Road, Suite 210 <br />Reno, Nevada 89511-1137 <br />USA <br />PLge 2 v`2 <br />