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2 Same as primary contact (default if no information is provided below, even if the box is not <br />checked). <br />Contact name* First Basil Last Dancy <br />Contact email address* bdancy@ircgov.com <br />Street address* 1801 27th St. <br />City* Vero Beach <br />State/Province* FL <br />Postal code* 32960 -3388 - <br />(For U.S. addresses, please provide the zip + 4, e.g. xxxxx-xxxx) <br />Country* United States <br />Phone* 772-226-1256 <br />Language preference. Choose the language for noticeN`English <br />❑ This contact is a third party (not the Enrolled Affiliate):"kWarning: This contact receives <br />personally identifiable information of the Customer and its Affiliates. <br />* indicates required fields <br />c. Online Services Manager. This contact is authorized to -manage the Online Services ordered <br />under the Enrollment and (for applicable Online Services:) toadd-or reassign Licenses and <br />step-up prior to atrue-up order. � �����, � ����� <br />❑ Same as notices contact and�Online Admmis_trator (default�if no information,is provided <br />below, even if box is not checked) N\ <br />Contact name*: First Basil—Last Dannct <br />Contact email address* bdancy@ircgo) m <br />Phone* 772-226-1256�\�� <br />❑ This contact is from a third party,orgarnzation (not the entity) W rJning: This contact receives <br />personally identifiable information of'the entity. <br />* indicates requir4fi_el�����\ <br />d. Reseller information. Reseller loo l tact for this Enrolltis: <br />Reseller company.name* SWI International Corp. <br />Street address (PO boxes will not�be accepted)_290 Davidson Ave <br />City* Somerset <br />State/Province*- NJ. <br />Postal cod 0'8873 <br />--�Couritry, United;`States� <br />corn <br />By signing\below,\th'e�ReseIIer identified above confirms that all information provided in this <br />Enrol Im enfisTrre`ct, <br />Signature* <br />Printed name* <br />Printed title* <br />Date* <br />* indicates required fields <br />Changing a Reseller. If Microsoft or the Reseller chooses to discontinue doing business with <br />each other, Enrolled Affiliate must choose a replacement Reseller. If Enrolled Affiliate or the <br />Reseller intends to terminate their relationship, the initiating party must notify Microsoft and the <br />91 <br />