HomeMy WebLinkAboutC10-012 Microsoft Enterprise Agreement Volume Licensing ExtensionA
Micrasoit~ I ~/olume Licensing
Enterprise Signature Form State and Local
Master Agreement number or 01 E61496 SGN- Proposal ID
Enrollment number`
Microsoft to complete if
applicable
*Note: Enter the applicable active numbers associated with the below documents. Microsoft requires the associated active number be
indicated here, or listed below as new.
This signature form and all contract documents identified in the table below are entered into between the
Customer and the Microsoft Affiliate signing, as of the effective date identified below.
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Enterprise Enrollment Renewal Form X20-00044
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Name of Entit y "County of Eagle State of Microsoft Licensi , GP
Colorado //
.P-~ ~- Signature
Signature
Printed Name *`~~c~~~(~'lt'~ ~ Pri ed N
Printed Title" (it'1GLl/r-'~'~a--~ ° Printed Title ~e~orah Moravt~,_
Signature Date * ~ L I ~ 2 ~7?~~ I ~ Signature Date ®~ 1 la~~l
(date Microsoft Affiliate countersigns)
Tax ID Effective Date
(may be different than Microsoft's signature date)
"indicates required field
ProgramSignFormGov(US)SLG(ENG)(Oct2008)
Page 1 of 2
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Optional 2"d Customer signature or Outsourcer Signature (if applicable)
Name of Entity "
Signature
Printed Name''
Printed Title'`
Signature Date
Name of Entity
Signature '`
Printed 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. If no media form is included, no physical media
will be sent.
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.
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ProgramSignFormGov(US)SLG(ENG)(Oct2008) Page 2 of 2
Mic~.soft ~ Volume Licensing
Enterprise Enrollment Renewal Form State and Local
Enrollment Number 5824966
(Reseller to complete)
Please return this form along with Entity's order to the Microsoft Affiliate on the signature form. This
form must be attached to a signature form to be valid.
For the purposes of this form, "Entity' can mean the signing entity, Customer, Enrolled Affiliate,
Integrator, Institution, or other party entering into a volume licensing program agreement.
Use this form to renew the Enrollment specified above. If this form is not submitted, or a new Enrollment
executed within 30 days following the expiration date of the above Enrollment, the Enrollment will expire
on the original expiration date.
Please select Entity's Enrollment renewal choice:
12 months
Entity's renewal will be complete when it returns this form and places a valid order for Products and/or
services. The Reseller is to help Entity complete its order. Please place the order within 30 days
following the expiration date of the Enrollment.
Changing Reseller. If Entity chooses to change its Reseller, Entity must notify Microsoft and the former
Reseller, in writing on a form provided at http://microsoft.com/licensing/contracts at least 30 days prior to
the date on which the change is to take effect. The change will take effect 30 days from the date of
Entity's signature on the change of channel partner form.
By renewing, Entity agrees that the Enrollment expiration date will change as provided in this form. The
renewal term starts one day following the expiration of the previous term. All other terms and conditions
of the Enrollment will apply.
^ Check if the renewal order will be financed through Microsoft financing.
Reminder: Please be sure to provide a renewal order along with this renewal form.
Reseller acknowledgement:
Name of Reseller Insight Direct USA, Inc (PCN# 12759932)
Printed Name Vanessa Karman
Printed Title Inside Sales Manager
Date, 1,,, 1 ~ ,-v,n
EARenewalForm(AOC)(US)SLG(ENG)(Oct2008) Page 1 of 1
Document X20-00044
