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� 1 <br /> MicrosoffIVolume Licensing <br /> Campus and School Media Order Form <br /> Media Shipping Information Form - Starter CD Kit <br /> Enrollment information Reseller contact <br /> 7Agent #: � I HIR Company name: SHI <br /> icrosoftompleteent # ) Contact name : /t '��ffiliate to rt O 5"Q � 1 �QQOUAICw�T� ri eg <br /> m lateV ��` ��ntact Josh Perez Contact email : msteam shi . com <br /> ame: msteam@shi . com <br /> phone: 888.764-8888 <br /> THIS FORM MUST BE ATTACHED TO AN ENROLLMENT. <br /> At your option , Starter CD kits and CD-ROM subscriptions relating to your Subscription Enrollment that <br /> you choose to receive will be shipped to the address below. Terms used but not defined in this form <br /> have the meanings given to them in your enrollment. <br /> The CD Kit Ship to Information identifies the delivery location and determines any taxes that may be <br /> applied . If you do not elect physical media, and intend to download copies of software instead , please <br /> provide the download delivery location as the CD Kit Ship To Information . <br /> CD Kit Ship To Intormation ( * indicates required infemation) <br /> ® Same as notices contact in the enrollment <br /> Company nameContact name * <br /> Last <br /> First <br /> Street address ` (no PO boxes accepted) Contact email address ` <br /> City and State / Province * Contact phone number * <br /> Country and Postal Code * Contact fax number <br /> If you choose below to receive media, then upon our acceptance of your enrollment , we will send you <br /> your starter CD kit in the language(s) you select. This starter CD kit will be provided at no additional <br /> charge , in order to permit you to exercise the license rights granted under your enrollment and <br /> related Campus and School Agreement. You may also subscribe to updates in the form of CDs, or <br /> upon reasonable notice, electronic download or similar other means. If you need additional CD kits <br /> and updates, you may order these through your reseller for a fee. For a complete list of the contents <br /> of any kit, visit the web site at hftp ://selectug . mslicense.com/. <br /> ® Yes , I want to receive a starter CD Kit ® Yes, I want to subscribe to receive kit <br /> (media) updates <br /> No, I do not want to receive a starter CD No, I do not want to subscribe to <br /> kit (media) receive kit updates <br /> Microsoft Campus and School Media Order Form v3.4 Page 1 of 2 <br /> (U.S.) January 1 , 2006 <br />