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■ <br />Microsoft <br />grogram Signature Form <br />MBA/MBSA number <br />Agreement number <br />6564327 <br />Volurne I icensnq <br />7-W2UTJCPAJ <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 below are entered into between <br />the Customer and the Microsoft Affiliate signing, as of the effective date identified below. <br />Contract Document <br />Enterprise Enrollment Indirect <br />Enterprise Amendment <br />Product Selection Form <br />Number or Code <br />X20-10635 <br />M97;M624;CTM-CTC-PUR NEW <br />1028956.002 PSF <br />By signing below, Customer and the Microsoft Affiliate agree that both parties (1) have received, read <br />and understand the above contract documents, including any websites or documents incorporated by <br />reference and any amendments and (2) agree to be bound by the terms of all such documents. <br />Customer <br />N ame of Entity (must be legal entity name)* City of Everett <br />S ignature* <br />P rinted First and Last Name* <br />Printed Title <br />Signature Date* <br />Tax ID <br />* indicates required field <br />Microsoft Affiliate <br />Microsoft Corporation <br />S ignature <br />P rinted First and Last Name <br />P rinted Title <br />S ignature Date <br />(date Microsoft Affiliate countersigns) <br />Agreement Effective Date <br />(may be different than Microsoft's signature date) <br />