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StatelProvince* IN <br />Postal code* 46637-1830 <br />(For U.S. addresses, please provide the zip + 4, e.g. xxxxx-xxxx) <br />Country* USA <br />Phone* 574-245-6000 <br />Tax ID <br />* indicates required fields <br />b. Notices contact and Online Administrator. This contact (1) receives the contractual notices, <br />(2) is the Online Administrator for the Volume Licensing Service Center and may grant online <br />access to others, and (3) is authorized to order Reserved Licenses for eligible Online Servies, <br />including adding or reassigning Licenses and stepping -up prior to a true -up order. <br />® Same as primary contact (default if no information is provided below, even if the box is not <br />checked). <br />Contact name* First Last <br />Contact email address* <br />Street address* <br />City* <br />StatelProvince* <br />Postal code* - <br />(For U.S. addresses, please provide the zip + 4,;e g.:xxxxx <br />Country* <br />Phone* <br />Language preference., Choose the language for notices:. <br />❑ This contact is a third party (not the Enrolled Affiliate <br />personally identifiable inf6r nation of the.Customer and.its <br />* indicates required fields <br />c. Online Services Manager.' This contact is authorized to rr <br />under the Enrollment and (for applicable Online Services <br />step-up prior to a true -up order. <br />h <br />ruing. This;; contact receives <br />5, <br />® Same as notices contact and Online Administrator (default if no information is provided <br />below, even if box is not checked) <br />Contact name*: First Last <br />Contact email address* <br />Phone* <br />❑ This contact is from a third party organization (not the entity). Warning: This contact <br />receives personally identifiable information of the entity. <br />* indicates required fields <br />d. Reseller information. Reseller contact for this Enrollment is: <br />Reseller company name* Dell Inc. <br />Street address (PO boxes will not be accepted)* One Dell Way <br />City* Round Rock <br />StatelProvince* TX <br />Postal code* 78682 <br />Country* USA <br />Contact name* Government Contract Admin <br />Phone* 847-465-3700 <br />Contact email address* US_MS_VL_Admin@Dell.com <br />* indicates required fields <br />EA2016EnrGov(US)SLG(ENG)(Nov2016) Page 9 of 10 <br />Document X20-10634 <br />