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Z Same as primary contact (default if no information is provided below, even if the box is not <br /> checked). <br /> Contact name* First Anton Last Batalla <br /> Contact email address* tbatalla@sanleandro.org <br /> Street address* 835 E 14TH ST <br /> City* SAN LEANDRO <br /> State/Province* CA <br /> Postal code* 94577-3767- <br /> (For U.S. addresses, please provide the zip + 4, e.g. xxxxx-xxxx) <br /> Country* United States �;' , <br /> Phone* (510) 577-3200 ,, <br /> Language preference. Choose the language for notices. English <br /> ❑ This contact is a third party (not the Enrolled Affiliate). Warning: This g�jn ac receives <br /> personally identifiable information of the Customer and its Affiliates. ,�j <br /> *indicates required fields ,,,�, <br /> c. Online Services Manager. This contact is authorized to manage/the"Onlino"Services ordered <br /> under the Enrollment and (for applicable Online Services) to,add or-reassign Licenses and <br /> /F,,,,, <br /> step-up prior to a true-up order. %;- <br /> %; <br /> ❑ Same as notices contact and Online Administrator/(defaultif no information is provided <br /> below, even if box is not checked) <br /> I r <br /> Contact name*: First Anton Last Batalla /,, % <br /> Contact email address* tbatalla@sanleandro.org <br /> Phone* (510) 577-3200 <br /> r <br /> ❑This contact is from a third party organization(not;tl e entity). Warning: This contact receives <br /> personally identifiable information ofthe,entity. <br /> *indicates required fields ; <br /> , <br /> d. Reseller information. Reseller`contact for this Enrollment is: <br /> Reseller company name*,SoftChoiee Corporation <br /> Street address (PO boxes=.will not be accepted)* 314 W Superior Suite 301 <br /> City* Chicago ' <br /> State/Province* IL ­'//11" <br /> Postal code* 60654 <br /> Country* United States; <br /> Contact name* Licensing Administrator <br /> Phone* 416-588-'9002 ext. 2307 <br /> Contact email�ddress* msselquestconfirmation@softchoice.com <br /> *indicates''required fields <br /> ,By signing below, the Reseller identified above confirms that all information provided in this <br /> <En"rbllment is correct. <br /> Signature* Licensing Administrator <br /> Printed name* Licensing Administrator <br /> Printed title* <br /> Date* <br /> *indicates required fields <br /> Changing a Reseller. If Microsoft or the Reseller chooses to discontinue doing business with <br /> each other, Enrolled Affiliate must choose a replacement Reseller. If Enrolled Affiliate or the <br /> Reseller intends to terminate their relationship, the initiating party must notify Microsoft and the <br /> EA2016EnrGov(US)SLG(ENG)(Nov2016) Page 9 of 10 <br /> Document X20-10634 <br />