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Shipping Information Form <br />License confirmations and S¢1c¢t CD-ROM subscriptions will bc shipped to thc following address. If thc CD-ROM <br />shipping address differs from thc License confirmation shipping address, please complete the Initial Fulfillment Kit/CD- <br />ROM Shipment Contact address section on the following page, <br /> <br />Licens the cover <br /> <br />Cu~mer Contact Language (4! dtffarent than language of <br />th~s enrollmenO <br /> <br />Microsoft will automatically ship one SELECT CD-ROM kit, and periodic additional CD-ROMS <br />containing updates, for each pool and language designated in the table below. If your right to purchase <br />licenses under a particular pool has been terminated (for failure to comply with your forecast), <br />Microsoft will discontinue shipment of CD-ROMS for that pool. Please mark each box with an "X" for <br />the language(s) you wish to have shipped for each of the pools you have chosen on the State and Local <br />Government Select Agreement. You may only enroll in the pool or pools designated under the State <br />and Local Government Select Agreement. If you would like to receive additional shipments of CD- <br />ROM kits you may order them through us for a fee. <br /> <br />Initial Fulfillment Kit / CD-ROM Shipment Contact (If different from License Confirmation contacO <br /> <br /> Contact Name <br /> Phone Number <br /> <br />Ciiy and State / Province and Postal Cede Ft~x Number <br /> <br />Microsoft State and Local Government Select Enrollment Cover Page Page 3 oJ'4 <br />(MSLI) Indirect v5 1 <br />(North American)November 20, 2000 <br /> <br /> <br />