Windows Azure VM Role: Instruction to enable "New Virtual Machine Role" in VS2010 are in the VM Role confirmation email
If you are one of a few lucky developers who requested and received VM Role confirmation email “Welcome to the Windows Azure VM Role Beta program!”… as below: Your subscription is now enabled to use the VM Role feature in Windows Azure. If you have not installed the latest version of the Windows Azure Tools (which includes the SDK), please install it from here
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Windows Azure VM Role: Instruction to enable "New Virtual Machine Role" in VS2010 are in the VM Role confirmation email


