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Optional 2nd Customer signature or Outsourcer signature (if applicable) <br />Name of Entity (must be legal entity name)* <br />Signature'* <br />Printed First and Last Name'* <br />Printed Title <br />Signature Date* <br />Name of Entity (must be legal entity name)* <br />Signature* <br />Printed First and last Name* <br />Printed Title <br />Signature Date* <br />* indicates required field <br />If Customer requires physical media, additional contacts, or is reporting multiple previous Enroilments, <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 Nell Road, Suite 210 <br />Reno, Nevada 89511-1137 <br />USA <br />APMOVW �AS <br />TO FMM <br />.� ,. ,./� ,,f'�"e's � .. <br />ProgramSignForm(MSSign)(NA,LatAm)EXBRA,MLI(ENG)(Atig2014) Page 2 of 2 <br />