A SEPARATE FORM MUST BE SUBMITTED FOR EACH SALES TERRITORY. 1. Publisher Name:
2. Xbox 360 Software Title Name:
A SEPARATE FORM MUST BE SUBMITTED FOR EACH SALES TERRITORY. A Different Form Must be Submitted for Non-Standard Editions (GOTY, Special Edition, Limited Edition or Compilation). This Form applies only to Standard Product.
A SEPARATE FORM MUST BE SUBMITTED FOR EACH SALES TERRITORY. 1. Publisher Name:________________________________________________________________________
2. Xbox 360 Software Title Name: ___________________________________________________________
A SEPARATE FORM MUST BE SUBMITTED FOR EACH SALES TERRITORY. 1. Publisher Name:_____________________________
2. Xbox 360 Software Title Name: _____________________________
3. XeMID Number: _____________________________
4. Manufacturing Region (check one): —— North American —— European —— Asian
5. Sales Territory (check one): —— North American Sales Territory —— Japan Sales Territory —— European Sales Territory —— Asian Sales Territory
6. Final Certification Date: _____________________________
7. Select Royalty Tier: (check one): [***] The undersigned represents that he/she has authority to submit this form on behalf of the above publisher, and that the information contained herein is true and accurate. By (sign) Name, Title (Print) E-Mail Address (for confirmation of receipt) Date (Print mm/dd/yy) NOTE: PUBLISHER MUST COMPLETE, SIGN AND SUBMIT THIS ENROLLMENT FORM [***]. This Xbox 360 Publisher License Enrollment (“Enrollment”) is entered into between Microsoft Ireland Operations Ltd. (“MIOL”) and Majesco Entertainment Company (“Publisher”), and is effective as of the latter of the two signatures identified below. The terms of that certain Xbox 360 Publisher License Agreement signed by Microsoft Licensing GP and Majesco Entertainment Company, dated on or about _________________ (the “Xbox 360 PLA”) are incorporated herein by reference.
A SEPARATE FORM MUST BE SUBMITTED FOR EACH SALES TERRITORY. This Form applies only to Standard Product. If a non-standard edition (such as GOTY, Special, Limited, Collector’s Editions or Compilations) will also be commercially available, the “Xbox 360 Royalty Tier Selection From for Non-Standard or Bundle Editions” must also be submitted.
A SEPARATE FORM MUST BE SUBMITTED FOR EACH SALES TERRITORY. 1. Publisher Name:
2. Xbox 360 Software Title Name:
3. XeMID Number: 4. Manufacturing Region (check one): o North American o European o Asian
A SEPARATE FORM MUST BE SUBMITTED FOR EACH SALES TERRITORY. 1. Publisher Name:
2. Xbox 360 Software Title Name:
3. XeMID Number:
4. Sales Territory (check one): North American Sales Territory Japan Sales Territory European Sales Territory Asian Sales Territory
5. Final Certification Date: Select Royalty Tier: (check one): [***] The undersigned represents that he/she has authority to submit this form on behalf of the above Publisher, and that the information contained herein is true and accurate. By (sign) Name, Title (Print) E-Mail Address (for confirmation of receipt) Date (Print mm/dd/yy) +0 (000) 000-0000 TO THE ATTENTION OF YOUR ACCOUNT MANAGER. This Xbox 360 Publisher Enrollment Form (“Enrollment”) is entered into between Microsoft Ireland Operations Ltd. (“MIOL”) and the following publisher (“Publisher”): Publisher: Address: Attention: Fax: Phone: Email: VAT number: and is effective as of the latter of the two signatures identified below. The terms of that certain Xbox 360 Publisher License Agreement signed by Microsoft Licensing, GP and dated (the “Xbox 360 PLA”) are incorporated herein by reference.
