Scribd
Upload
71 views3 pages

Program Sign Form Jun

This document is a program signature form for a customer to sign to agree to various Microsoft licensing agreements. The summary includes: 1) The signature form and identified contract documents establish an agreement between the customer and Microsoft affiliate. 2) The signature form lists the contract documents, including a Services Provider License Agreement and potentially others, that the customer and Microsoft affiliate agree to be bound by. 3) By signing, the customer and Microsoft affiliate agree they have received, read, and understand the contract documents and any amendments or references within them.

Uploaded by

jose Urquiza Ordinola
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
71 views3 pages

Program Sign Form Jun

This document is a program signature form for a customer to sign to agree to various Microsoft licensing agreements. The summary includes: 1) The signature form and identified contract documents establish an agreement between the customer and Microsoft affiliate. 2) The signature form lists the contract documents, including a Services Provider License Agreement and potentially others, that the customer and Microsoft affiliate agree to be bound by. 3) By signing, the customer and Microsoft affiliate agree they have received, read, and understand the contract documents and any amendments or references within them.

Uploaded by

jose Urquiza Ordinola
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Program Signature Form

MBA/MBSA number       Proposal ID

Agreement number      

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 Affiliate, 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 Affiliate signing, as of the effective date identified below.

Contract Document Number or Code


Services Provider License Agreement X20-02537
Microsoft Business and Services Agreement      
<Choose Agreement> Document Number or Code
<Choose Agreement> Document Number or Code
<Choose Agreement> Document Number or Code
<Choose Enrollment/Registration> Document Number or Code
<Choose Enrollment/Registration> Document Number or Code
<Choose Enrollment/Registration> Document Number or Code
<Choose Enrollment/Registration> Document Number or Code
<Choose Enrollment/Registration> Document Number or Code
Document Description Document Number or Code
Document Description Document Number or Code
Document Description Document Number or Code
Document Description Document Number or Code
Document Description Document Number or Code
By signing below, Customer and the Microsoft Affiliate agree that both parties (1) have received, read and
understand the above contract documents, including any websites or documents incorporated by
reference and any amendments and (2) agree to be bound by the terms of all such documents.

Customer

Name of Entity (must be legal entity name)*      


Signature*
Printed First and Last Name*      
Printed Title*      
Signature Date*      

Tax ID      
* indicates required field

ProgramSignForm(MSSign)(NA,LatAm)ExBRA,MLI(ENG) Page 1 of 3
(Oct2012)
Microsoft Affiliate

Microsoft Licensing, GP

Signature
Printed First and Last Name      
Printed Title      
Signature Date      
(date Microsoft Affiliate countersigns)

Effective Date      


(may be different than Microsoft’s signature date)

Optional 2nd Customer signature or Outsourcer signature (if applicable)

Customer

Name of Entity (must be legal entity name)*      


Signature*
Printed First and Last Name*      
Printed Title*      
Signature Date*      
* indicates required field

Outsourcer

Name of Entity (must be legal entity name)*      


Signature*
Printed First and Last Name*      
Printed Title*      
Signature Date*      
* indicates required field
If Customer requires physical media, additional contacts, or is reporting multiple previous Enrollments,
include the appropriate form(s) with this signature form.
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.

Microsoft Licensing, GP
Dept. 551, Volume Licensing
6100 Neil Road, Suite 210
Reno, Nevada 89511-1137
USA

ProgramSignForm(MSSign)(NA,LatAm)ExBRA,MLI(ENG) Page 2 of 3
(Oct2012)
Prepared By: Name of Preparer
Email of Preparer

ProgramSignForm(MSSign)(NA,LatAm)ExBRA,MLI(ENG) Page 3 of 3
(Oct2012)

You might also like