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I4 <br /> Microsoft Affiliate <br /> Microsoft Corporation <br /> Signature <br /> Printed First and Last Name <br /> Printed Title <br /> Signature Date <br /> (date Microsoft Affiliate countersigns) <br /> Agreement Effective Date <br /> (may be different than Microsoft's signature date) <br /> Optional 2nd Customer signature or Outsourcer signature(if applicable) <br /> Customer <br /> IT customer requires pnysical meaia,aaaltional contacts, or is reporting multiple previous tnrouments, <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 Neil Road, Suite 210 <br /> Reno, Nevada 89511-1137 <br /> USA <br /> ProgramSignForm(MSSign)(NA,LatAm)Ex6RA,MLl(ENG)(Aug2014) Page 2 of 2 <br /> 76 <br />