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Signature Form <br />The undersigned hereby proposes and agrees to furnish goods and/or services in strict compliance with <br />the terms, specifications and conditions at the prices proposed within response unless noted in writing. <br />The undersigned further certifies that he/she is an officer of the company and has authority to negotiate <br />and bind the company named below and has not prepared this bid in collusion with any other Respondent <br />and that the contents of this proposal as to prices, terms or conditions of said bid have not been <br />communicated by the undersigned nor by any employee or agent to any person engaged in this type of <br />business prior to the official opening of this proposal. <br />Prices are guaranteed: 120 days <br />Company name <br />Address <br />City/State/Zip <br />Telephone No. <br />Fax No. <br />Email address <br />Printed name <br />Position with company <br />Authorized signature <br />SYNNEX Corporation <br />39 Pelham Ridge Drive <br />Greenville, SC 29615 <br />864-349-4801 <br />510-360-6613 <br />danielbr@synnex.com <br />Daniel T. Brennan <br />Vice President & Senior Counsel <br />