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❑ Same as primary contact (default if no information is provided below, even if the box is not <br />checked). <br />Contact name: First* Zac Middle E Last* Portwood <br />Contact email address* zportwood@indianriver.gov <br />Street address* 1801 27th St. <br />City* Vero Beach <br />State* FL <br />Postal code* 32960-3388 - <br />(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 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 />* 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) to add or reassign Licenses and <br />step-up prior to a true -up order. <br />❑ Same as notices contact and Online Administrator (default if no information is provided <br />below, even if box is not checked) <br />Contact name: First* Zac Middle E Last* Portwood <br />Contact email address* zportwood@indianriver.gov <br />Phone* 772-226-1256 <br />❑ This contact is from a third party organization (not the entity). Warning: This contact <br />receives personally identifiable information of the entity. <br />* indicates required fields <br />d. Reseller information. Reseller contact for this Enrollment is: <br />Reseller company name* Insight Direct USA, Inc. <br />Street address (PO boxes will not be accepted)* 2701 E. Insight Way <br />City* Chandler <br />State* AZ <br />Postal code* 85286-1930 <br />Country* United States <br />Contact name* Software *Contract Support <br />Phone* 800-624-0503 <br />Contact email address* contractsupport@insight.com <br />* indicates required fields <br />By signing below, the Reseller identified above confirms that all information provided in this <br />Enrollment is correct. <br />Signature* Softwcwei*C&rt&actSupp&rt <br />Printed name* Software *Contract Support <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 />EA20241EnrGov(US)SLG(ENG)(Oct2023) Page 9 of 10 <br />Document X20-10636 <br />