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Microsoft Volume Licensing <br /> Program Signature Form <br /> MBA/MBSA number AIKENEverettCRRB <br /> Agreement number 01 E73965 <br /> Note: Enter the applicable active numbers associated with the documents below. Microsoft requires <br /> the 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 + Number or Code <br /> <Choose Agreement> Document Number or Code <br /> <Choose Agreement> Document Number or Code <br /> <Choose Agreement> Document Number or Code <br /> <Choose Agreement> Document Number or Code <br /> <Choose Agreement> Document Number or Code <br /> <Choose Enrollment/Registration> Document Number or Code <br /> <Choose Enrollment/Registration> Document Number or Code <br /> <Choose Enrollment/Registration> Document Number or Code <br /> <Choose Enrollment/Registration> Document Number or Code <br /> <Choose Enrollment/Registration> Document Number or Code <br /> Amendment CTM-PSC (80384624) <br /> Document Description Document Number or Code <br /> Document Description Document Number or Code <br /> Document Description Document Number or Code <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 /> Name of Entity(must be le efiti name)* City of Everett <br /> Signature* 7� <br /> Printed First and La e* C I C P lltp.�t I.N <br /> Printed Title M A toj 6 et <br /> Signature Date* s/i s 20101 <br /> Tax ID* f <br /> indi•.tes require• ld APPROVED AS 10 <br /> A1 4 A. ... .4.- 477 �FQ M <br /> r : ST:: <br /> City Clerk <br /> ProgramSignForm(MSSign)(NA,LatAm)ExBRA,MLt(ENG)(Aug2014) Page 1 of 2 <br />