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Enrollment Details <br /> 1 . Enrolled Affiliate 's Enterprise. <br /> Identify which Affiliates are included in the Enterprise. Check only one box in this section : <br /> ® Enrolled Affiliate <br /> ❑ Enrolled Affiliate and the following Affiliate(s) : <br /> ❑ Enrolled Affiliate and all Affiliates , with following Affiliate(s) excluded : <br /> I IN <br /> IN <br /> Ile i <br /> ile <br /> IN <br /> 1 16 F ell, I I Nellie 4. 16 1t -fx ` <br /> M ININ <br /> � $ V �•F• 1. <br /> ill Will, IN el: 11Cllff�4e,WNi 61 , FNI <br /> P, <br /> F lie <br /> Ile W Nip <br /> ehl <br /> lla <br /> NNi <br /> cI <br /> Please indicate whether lte Enrol led3Affillate s EI 1 nter 1i i will incluAlNNde %%%% it new ff1 fatINIes acqufred ' after;the <br /> � NIZI%I <br /> lA% <br /> IN <br /> Ile IN <br /> start of this Ernroliment include future Affiliates <br /> IN q en <br /> 16 '` x .. <br /> .1 Ile <br /> 2. Contact information. NII ININ <br /> 6le3 i t - S C h <br /> �:., % IN%I Ile <br /> Each party will notify the other in writing if any of ,\tl~f tifari ti or mllNethe ;following contact <br /> information' <br /> page(s) changes . The. asterisks (*) indicate required fIelds = By ; Rrcontact information , Enrolled <br /> Affiliate consents toNYIrts _use for purposes of :administenng this Enrollment ly <br /> Neel <br /> by Microsoft; its Affiliates; and <br /> other parties that; hel �lrp, adrninister this Enrollment . The personal information provided in connection with. <br /> IN <br /> `is �nroleot ° will ; be , used andprotected� in accordance .wltti�� the ptwacrsstatement available at <br /> https //wy11W mibfosoft . com/licensinQ/seryicecentef. <br /> Neil ' IIN N%j eel I <br /> a. n Primary contaict. il This contact is ; ther primary contact for the Enrollment from within Enrolled- <br /> Affiliate' s Enterprise. This contact is also an Online Administrator for the Volume Licensing <br /> Service Center and may grant online access to others . <br /> Name of entity ( must be legal entity name)* Indian River County BOCC <br /> Contactname* First Last <br /> Contactemail address* <br /> Street'address* <br /> City'; State/Province* FL <br /> ostal Crer ode* <br /> de*% - <br /> ( For U. S . addresses , please provide the zip + 4 , e. g . xxxxx-xxxx) <br /> Country* USA <br /> Phone* Fax <br /> I . <br /> Tax ID <br /> b . Notices contact and Online Administrator. This contact ( 1 ) receives the contractual <br /> notices , (2) is the Online Administrator for the Volume Licensing Service Center and may <br /> EA201 1 EnrGov(US) SLG(ENG)(Ju1201 1 ) Page 9 of 14 <br /> Document X20-02113 <br />