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Microsoft Affiliate <br /> Microso orporation <br /> 4m <br /> Signature 41141' • <br /> It.15of�- <br /> Printed First and Last Name Microsoft Corporation <br /> Printed Title <br /> Signature Date AUG 0 6 20!9 <br /> (date Microsoft Affiliate countersigns) <br /> Rayu�i Carranza <br /> Agreement Effective Date Duly Authorized on behalf of <br /> (may be different than Microsoft's signature date) Microsoft Corporation <br /> Optional 2nd Customer signature or Outsourcer signature (if applicable) <br /> Customer <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 /> Outsourcer <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 Enrollments, <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 Customer's <br /> channel partner or Microsoft account manager,who must submit them to the following address. When <br /> the signature form is fully executed by Microsoft, Customer will receive a confirmation 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)ExBRA,MLI(ENG)(Aug2014) Page 2 of 2 <br />