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Microsoft <br />Program Signature Form <br />Volume Licensing <br />MBAIMBSA number U027.5474 Proposal ID <br />Agreement number 01E73214 <br />Note: Enter the applicable active numbers associated with the documents below. Microsoft <br />requires the associated active number be indicated here, or listed below as new. <br />This signature form and all contract documents identified in the table below are entered into between <br />the Customer and the Microsoft Affiliate signing, as of the effective date identified below. <br />Contract Document <br /><Choose A reement> <br />Number or Code <br />Document Number:or Code <br /><Choose A reement> <br />Document Number -6r Code <br /><Choose A reement> <br />Document Numbee;or.,Code <br /><Choose A reement> <br />Document Number or Code <br /><Choose A reement> <br />Document Number or,Code <br />Enter rise Enrollment,. <br />X20-02113 K451 -'. <br /><Choose Enrol Im efit/R eg istration> <br />Document Number or Code <br /><Choose Enrollment/Re istration> <br />Document Number or Code _ ,. <br /><Choose Enroliment/Re istration> <br />Document Number or Code <br /><Choose Enrollment/Re istration> <br />Document Number or Code. <br />Amendment <br />W29 New <br />Document Description <br />Document Number.or Code <br />Document Description <br />Document Number or Code <br />Document Description <br />Document Number or Code <br />Document Description <br />Document Number or Code <br />By signing below, Customer and the Microsoft Affiliate agree that both parties (1) have received, read <br />and understand the above contract documents, including any websites or documents incorporated by <br />reference and any amendments and (2) agree to be bound by the terms of all such documents. <br />Name of Ei <br />Signature* <br />Printed Fir <br />be legal <br />Printed Titliva Ltr\� <br />Signature Date* \ \- �:) LA <br />Tax ID <br />* indicates <br />River County BOCC <br />Progra mSignForm(MSSign)(NA, LatAm )ExBRA, MLI (ENG)(Aug2014) <br />Page 1 of 2 <br />P129 <br />