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Microsoft <br />Program Signature Form <br />MBA/MBSA number <br />Agreement number 8084445 <br />Volume Licensing <br />AM D000476143 <br />Note: Enter the applicable active numbers associated with the documents below. Microsoft requires the <br />associated active number be indicated here, or listed below as new. <br />For the purposes of this form, "Customer" can mean the signing entity, Enrolled Affiliate, <br />Government Partner, Institution, or other party entering into a volume licensing program agreement. <br />This signature form and all contract documents identified in the table be <br />lqoure entered into between <br />the Customer and the Microsoft Affiliate signing, as of the effective date ed below. <br />Enterprise Enrollment Indirect -10637 <br />Product Selection Form 3112846.004 PSF <br />Enterprise Amendment 97 - (68742008) <br />By signing below, Customer and the Microsoft Affiliate r both parties (1) have received, read <br />and understand the above contract documents, incl n an ebsites or documents incorporated by <br />reference and any amendments and (2) agree to n by the terms of all such documents. <br />Name of Entity (must be legal enti ity of Santa Ana <br />Signature* <br />Printed First and Last Na <br />Printed Title <br />Signature Date* <br />Tax ID <br />* indicates required field <br />ProgramSignForm(MSSign)(NA,LatAm)ExBRA,MLI(ENG)(May202o) Page 1 of 2 <br />Document X20-12883 <br />