HomeMy WebLinkAbout2019 - Microsoft Signature FormENI Microsoft Volume Licensing
Program Signature Form
MBAIMBSA number
Agreement number 01E73965
Note: Enter the applicable active numbers associated with the documents below. Microsoft
requires the associated active number be Indicated here, or listed below as new.
For the purposes of ,thisform, "Customer' can mean thesigning entity, Enrolled Affiliate,
Government Partner,'Institution, or other. party entering into a volume licensingprogram
'agreement,
This signature form and all contract documents identified in the table below are entered into between
the Customer and the Microsoft Affiliate sionina. as of the effective date identified helnw.
By signing below, Customer and the Microsoft Affiliate agree that both parties (1) have received, read
and understand the above contract documents, Including any websites or documents Incorporated by
reference and any amendments and (2) agree to be bound by the terms of all such documents.
Name of Entity (must b!>Vl entity na City of Auburn
Signature'_
Printed First and Last Name' bAu ID —r(Z-A u 15
Printed Title ZT i -S r re —41�
Signature Date' Z 9
Tax ID
Microsoft Corporatily-
Signature ( �- �,,
Printed First and Last Name
Printed Title
Signature Date
(date Microsoft Affiliate countersigns)
Agreement Effective Date 03li4/= 0i4
(may be different than Microsoft's signature dale)
ProgmmSignFonn(MSSign)(NA,LatAm)ExBRA,MLI(ENGHAug2g14) Page 1 of 2
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ProgmmSignFonn(MSSign)(NA,LatAm)ExBRA,MLI(ENGHAug2g14) Page 1 of 2
Optional 2n4 Customer signature or Outsourcer signature (if applicable)
Name of Entity (must be legal entity name)'
Signature'
Printed First and Last Name*
Printed Title
Signature Date*
Name of Entity (must be legal entity name)`
Signature'
Printed First and Last Name'
Printed Title
Signature Date'
If Customer requires physical media, additional contacts, or is reporting multiple previous Enrollments,
include the appropriate form(s) with this signature form.
After this signature form is signed by the Customer, send it and the Contract Documents to
Customer's channel partner or Microsoft account manager, who must submit them to the following
address. When the signature form is fully executed by Microsoft, Customer will receive a confirmation
copy.
Microsoft Corporation
Dept. 551, Volume Licensing
6100 Neil Road, Suite 210
Reno, Nevada 89511-1137
USA
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