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ProgramSignForm(MSSign)(NA,LatAm)ExBRA,MLI(ENG)(May2020)Page 2 of 2 <br />Document X20-12883 <br />Microsoft Affiliate <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 />Optional 2nd Customer signature or Outsourcer signature (if applicable) <br />Customer <br />Name of Entity (must be legal entity name)* <br />Signature* <br />Printed First and Last Name* <br />Printed Title <br />Signature Date* <br />* indicates required field <br />Outsourcer <br />Name of Entity (must be legal entity name)* <br />Signature* <br />Printed First and Last Name* <br />Printed Title <br />Signature Date* <br />* indicates required field <br />If Customer requires additional contacts or is reporting multiple previous Enrollments, include the <br />appropriate form(s) with this signature form. <br />After this signature form is signed by the Customer, send it and the Contract Documents to Customer’s <br />channel partner or Microsoft account manager, who must submit them to the following address. When <br />the signature form is fully executed by Microsoft, Customer will receive a confirmation copy. <br />Microsoft Corporation <br />Dept. 551, Volume Licensing <br />6880 Sierra Center Parkway <br />Reno, Nevada 89511 <br />USA <br />ATTY/AGR.2024.011/Microsoft (Riverside 365 Agreement) (REV: 9-25-24 MI) (Page 2 of 12) <br />6.B. - Page 10 of 20 <br />70