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Microsoft` I Volume Licensing <br />grant online access to others, and (3) is authorized for applicable Online Services to add or <br />reassign Licenses, step-up, and initiate Transitions prior to a true -up order. <br />® Same as primary contact <br />Name of entity* <br />Contact name* First Last <br />Contact email address* <br />Street address* <br />City* State/Province* <br />Postal code* - <br />(For U.S. addresses, please provide the zip + 4, e.g. xxxxx-xxxx) <br />Country* <br />Phone* Fax <br />Language preference. Choose the language for notices. English <br />❑ This contact is a third party (not the Enrolled Affiliate). Warning: This contact receives <br />personally identifiable information of the Customer and its Affiliates. <br />c. Microsoft Account Manager. Microsoft Account Manager for this Enrolled Affiliate is: <br />Microsoft account manager name: <br />Microsoft account manager email address: <br />d. Media delivery contact (DO NOT COMPLETE IF ATTACHING MEDIA ELECTION FORM,). <br />This is the contact at the ship to/electronic delivery address. <br />® Same as notices contact and Online Administrator <br />Name of entity* <br />Contact name: First* Last* <br />Contact email address (required for online access)* <br />Street address (no PO boxes accepted)* <br />City* State/Province* <br />Postal code* - <br />(For U.S. addresses, please provide the zip + 4, e.g. xxxxx-xxxx) <br />Country* <br />Phone* Fax <br />e. Online Services Manager. This contact is authorized • to manage the Online Services <br />ordered under the Enrollment and (for applicable Online Services) to add or reassign <br />Licenses, step-up, and initiate Transitions prior to a true -up order. <br />® Same as notices contact and Online Administrator <br />Name of entity* <br />Contact name*: First Last <br />Contact email address* <br />Street address* <br />City* State/Province* Postal code* <br />Country* <br />Phone* Fax <br />❑ This contact is from a third party organization (not the entity). Warning: This contact <br />receives personally identifiable information of the entity. <br />f. Reseller information. Reseller contact for this Enrollment Is: <br />Reseller company name* SHI International Corp <br />Street address (PO boxes will not be accepted)* 290 Davidson Ave <br />City* Somerset State/Province* NJ Postal code* 08873 <br />Country* US <br />Contact name* <br />EA2011 EnrGov(US)SLG(ENG)(Ju12011) <br />Page 10 of 14 <br />Document X20-02113 <br />P122 <br />