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Program Signature Form <br />MBA/MBSA number <br />Agreement number 01E73902 <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 />For the purposes of this form, "Customer" can mean the signing entity, Enrolled Affiliate, <br />Government Partner, Institution, or other party entering into a volume licensing program <br />agreement. <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 />Enrollment <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 Entity (must be legal entity name)* Indian River County BOCC <br />Signature* <br />Printed First and Last Name* <br />Printed Title <br />Signature Date* <br />Tax ID <br />Microsoft Corporation <br />Signature <br />Printed First and Last Name <br />Printed Title <br />Signature Date <br />(date Microsoft Affiliate countersigns) <br />Agreement Effective Date <br />(may be different than Microsoft's signature date) <br />81 <br />