For good and valuable consideration, the receipt of which is hereby acknowledged, the undersigned institution hereby acknowledges that it has read and agrees to be bound by the MathSciNet Consortium License Agreement dated ________________________ between the American Mathematical Society and __________________________________, the Consortium, which has been authorized to sign said License Agreement and to act on behalf of the undersigned
institution in all manners having to do with said License Agreement.

The undersigned institution further agrees that this Acknowledgment is entered into for the benefit of the
American Mathematical Society, which may enforce the terms and conditions of the Consortium License Agreement
directly against the undersigned.

Institution (name and address)

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

By (Authorized Signature)_____________________________________________________________

Name of Authorized signer – please type or print___________________________________________

Title ______________________________________________________________________________

Phone _____________________________________________________________________________

Email address _______________________________________________________________________

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