Microsoft S Shared Source Initiative

Microsoft’s Shared Source Initiative

Program Enrollment Request Form

Thank you for your interest in Microsoft’s Shared Source Initiative and our source licensing programs. To determine eligibility, the following company and contact information is required.

Please visit the Shared Source Initiative site for individual program details and eligibility criteria. If you have any questions about this form, please contact .

Please submit this completed form to for program consideration.

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Company Information

•  Company name:

•  Mailing address:

•  City:

•  State/Province:

•  ZIP/Postal Code:

•  Country:

•  Phone number:

Primary Contact Information

•  Primary contact name:

•  Primary contact title:

•  Primary contact e-mail address:

•  Alternate contact name:

•  Alternate contact e-mail address:

•  Microsoft Account Manager:

•  Microsoft Technical Account Manager:

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General Shared Source Initiative Program Eligibility Criteria

To participate in Microsoft’s Shared Source Initiative Source Licensing Programs, your company must meet certain geographic market eligibility requirements. Visit the Shared Source Initiative Web site for geographic eligibility information.

1. Where is your company headquartered? City: State/Province: Country:

2. Which of your company locations will require source code access?

City: State/Province: Country:

City: State/Province: Country:

City: State/Province: Country:

3. Please list any subsidiaries and locations that also require source code access:

Subsidiary Name: City: State/Province: Country:

Subsidiary Name: City: State/Province: Country:

Program-Specific Eligibility Criteria

Please select the program to which your company is applying, and return the completed form to

Enterprise Source Licensing Program (ESLP)

Note: This is a Reference Grant with read-only access. Source code may only be used for the sole purpose of assisting in the support and development of internally deployed applications for the Microsoft Windows platform, and ongoing support of Microsoft Windows deployments. Source Code may NOT be used for the development of a commercial software product.

Program Eligibility Criteria (Must meet all requirements):

a) Describe exactly your purpose for requesting access to the source code:

b) 1) Be a state/local (or similar) government organization

• Government organization name:

AND currently maintain 500 Windows seats (Windows Vista or above) under either:

·  an Enterprise agreement

Please provide your Enterprise agreement number:

OR

• a Select or Select Plus agreement with Software Assurance

Please provide your Select or Select Plus agreement number:

OR

b) 2) Be an enterprise customer

AND currently maintain 1,500 Windows seats (Windows Vista or above) under either:

·  an Enterprise agreement

Please provide your Enterprise agreement number:

OR

• a Select or Select Plus agreement with Software Assurance

Please provide your Select or Select Plus agreement number:

OR

b) 3) Be a Systems Integrator

AND have a current Microsoft Services Partner Advantage agreement with at least 800 Services Resource hours

Please provide your Microsoft Services Partner Advantage agreement number:

OR

Currently maintain 1,500 Windows seats (Windows Vista or above) under either:

·  an Enterprise agreement

Please provide your Enterprise agreement number:

OR

·  a Select or Select Plus agreement with Software Assurance

Please provide your Select or Select Plus agreement number:

c) Sign the Non-Disclosure Agreement and licensing agreements covering allowed usage of Windows source code

OEM Source Licensing Program (OEMSLP)

Note: Source code may only be used for the purpose of assisting in the development, debugging, optimization, and end-user support of hardware for the Microsoft Windows operating system.

Program Eligibility Criteria (Must meet all of requirements):

a) Describe exactly your purpose for requesting access to the source code:

b) Have a current OEM License signed with Microsoft.

c) Be a Top Volume OEM for the Microsoft Windows OS

d) Currently maintain 1,500 Windows seats (Windows Vista or above) under either:

• an Enterprise agreement

Please provide your Enterprise agreement number:

OR

• a Select or Select Plus agreement with Software Assurance

Please provide your Select or Select Plus agreement number:

e) Sign the Non-Disclosure Agreement and licensing agreements covering allowed usage of Windows source code

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