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For Microsoft Internal Use Purposes <br /> <br />Enrollment Number <br /> <br />Select Agreement Expiration Date <br />Reseller must complete the following: <br />Select Agreement Number I I <br /> <br />NOT FOR USE WITH THE MICROSOFT BUSINESS AGREEMENT <br /> <br />MICROSOFT STATE AND LOCAL GOVERNMENT SELECT ENROLLMENT <br /> (Reseller Version) <br /> <br />This MICROSOFT STATE AND LOCAL GOVERNMENT SELECT ENROLLMENT is entered into between the following entities as of <br />the effective date identified below. If different fi.om the main contact information, any notices must be addressed to the contact and <br />locations outlined in the notices section below. We will notify you in writing if our address information changes. You must notify us and <br />Microsoft in writing if your address changes. <br /> <br />Customer Name Name and address of Re~eller <br />Street Address and/or post office box Street Address and/or post office box <br /> <br />City and State / Province City and State / Province <br />Country and Postal Code Country and Postal Code <br />Contact Name Contact Name <br />Phone Number Phone Number <br />Fax Number Fax Number <br />Email Address Email Address <br />For the Attention off For the Attention of: <br /> <br />Customer Notices Information (if different from above) <br />Customer Name <br /> <br />Street Address and/or post office box <br /> <br />City and State / Province <br /> <br />Country and Postal Code <br /> <br />Contact Name <br /> <br />Phone Number <br /> <br />Fax Number <br /> <br />Email Address <br /> <br />For the Attention of: <br /> <br />The enrollment, attached documents and All NOTICES should be <br />sent to: <br /> <br />MSLI, GP <br />6100 Neil Road, Suite 210 <br />Reno, NV 89511-I 137 <br />Attention: Volume Licensing, Dept. 551 <br />Phone: 775-823-5600 <br />Email Address: Selquest(~micmsoft.com <br /> <br />All NOTICES should have Copy To: <br />Microsoft Corporation, Law and Corporate Affairs <br />One Microsoft Way <br />Redmond, WA <br />USA 98052 <br />Attention: Volume Licensing Attorney <br />Phone: 425-936-7329 <br />Email Address: ~Microsoft.com <br /> <br />Microsoft State and Local Government Select Enrollment <br />(MSL0 Indirect vS. 1 <br />(North American) November 20, 2000 <br /> <br />Page I of 4 <br /> <br /> <br />