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Your reseller should complete . .wing sections and sign this form where indicated. <br /> General information <br /> Reseller company name: <br /> SHI <br /> Street address: (PO boxes will not be accepted) <br /> 2 Riverview Drive <br /> City and State / Province and postal code: <br /> Somerset, NJ 08873 <br /> Country: <br /> USA <br /> Contact name: <br /> Phone number: <br /> 888-764-8888 <br /> Fax number: <br /> 732-537-7325 <br /> Email address: <br /> msteam shi . com <br /> The undersigned confirms that the reseller information is correct. <br /> Name of reseller <br /> SHI <br /> Signature <br /> Printed name <br /> Printed title <br /> Licensing Specialist <br /> Date <br /> SLG Microsoft Enterprise 6.4 Enrollment Reseller information forth Page 11 of 11 <br /> (Indirect)(Nodh America) June 2006 N36 <br />