Orange County NC Website
<br />ProgramSignForm(MSSign)(NA,LatAm)ExBRA,MLI(ENG)(May2020) Page 2 of 2 <br />Document X20-12883 <br /> <br />Optional 2nd Customer signature or Outsourcer signature (if applicable) <br />Customer <br />Name of Entity (must be legal entity name)* <br />Signature* {{SIG2C5signature_es_:signer2:signature}} <br />Printed First and Last Name* {{SIG2C2customerprintedfirstandlastname_es_:signer2:fullname}} <br />Printed Title {{SIG2C3printedtitle_es_:signer2:title}} <br />Signature Date* {{SIG2C4_es_:signer2: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 />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 />DocuSign Envelope ID: B85A9193-88B0-4814-AC1E-22E81BC064B3