# Microsoft Volume Licensing
Program Signature Form
MBAMBSA number 7-SMACTIYIC
‘Agreement number
77310236
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 this form, “Customer” can mean the signing entity, Enrolled Affliate,
Government Partner, Institution, or other party entering into a volume licensing program agreement,
‘This signature form and all contract documents identified in the table below are entered into between
the Customer and the Microsoft Affliate signing, as of the effective date identified below.
eras
Nm
Document Number of Code.
[D lumber of Code.
Document Number or Code,
Document Number or Code,
Document Number or C
Document Number of Code.
Document Number or Code
[choose Agreement> —
[Choose Agreement»
~
[Choose Agreement>
~
Choose Enrolimen/Registration>
[Choose Enroliment/Registration>
| iment/Registration>
Document Number or Code
Document Number or Code
[Choose Enrollment/Registration>
Document Number or Code
[Amendment EES29
Document:Desc __ Document Number or Code
Document Description Document Ni -
Document Description Document Ni
Document Description — Document Number or Code.
By signing below, Customer and the Microsoft Affliate agree that both parties (1) have received, read
and understand the above contract documents, including any websites or docuients incorporated by
reference and any amendments and (2) agree to be bound by the terms of all such documents.
[orcad
Name of Entity (must be Jpaa pg The Association of Independent Schools of
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Queensland Inc
Signature*
Printed First and Last Name fig Carley a/ne
PrintedTitle Schools AAuisoy €1eT)
Signature Datet 26 /02 / 201
Tax ID |
Findicales required field
ProgramSignForm(MiSSign)(Asia)EXAUS (dif), ND.JPN KOR, PRC(ENG)(Sep2018) Page 1 of3
Document X20-12895Die
TS
Microsoft Ireland Operations Limited
Signature
Printed First and Last Name
Printed Title
Signature Date
(date Microsoft Affilate countersigns)
Agreement Effective Date
(may be citferent than Microsofts signature date)
‘One Microsoft Place
South County Industrial Park
Leopardstown
Dublin 18
D18 P521
Notices to the Microsoft Affiliate should be sent t
‘Microsoft Ireland Operations Limited
clo Microsoft Operations Pte Ltd
Dept. 551, Volume Licensing
4388 Alexandra Road, #04-09/12, Block B
Alexandra Technopark:
Singapore 119968
Optional 2" 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*
“indicates required field
Name of Entity (must be legal entity name)"
Signature"
Printed First and Last Name”
Printed Title
Signature Date* |
“indicates required field
I Customer requires physical media, additional contacts, or is reporting multiple previous Enrollments,
include the appropriate form(s) with this signature form.
ProgramSignForm(MS Sign\Asia)EXAUS (dif),JND.JPN,KOR,PRC(ENG)(Sep2018) Page 20f3
Document X20-12836After 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 ireland Operations Limited
clo Microsoft Operations Pte Ltd
Dept. 551, Volume Licensing
438B Alexandra Road, #04-09/12, Block B
‘Alexandra Technopark
Singapore 119968
Please remit to your reseller,
jer countries
: Please remit to:
Microsoft ireland Operations Limited
clo Microsoft Operations Pte Ltd
Dept 551, Volume Licensing
4388 Alexandra Road #04-09/12
Block 8, Alexandra Technopark
Singapore 119968
Two-tier countries
Reseller: Please remit to the distributor.
Distributor: Please remit to:
‘Microsoft ireland Operations Limited
clo Microsoft Operations Pte Ltd
Dept §51, Volume Licensing
438B Alexandra Road #04-09/12
Block 8, Alexandra Technopark
Singapore 119968
ProgramSignForm(MS Sign\Asia)ExAUS(Gi).JND.JPN KOR,PRO(ENG)(Sep2018) Page 3 of3
Document X20-12836