To Be Completed By Customer and Mailed to:
Registry First Aid Return Dept.
PO Box 415
Savanna, IL 61074-0415
THIS AGREEMENT (the "Agreement") is made and entered into by and between Rose City Software, Inc. an Oregon Limited Liability Corporation (hereinafter "Seller") and ________________________ (hereinafter "Customer").
By signing below, the Customer agrees that he or she has taken the necessary measures to delete and destroy the intellectual property described in the table below, and licensed to the Customer for use under the terms of the applicable software license agreement.
Enter the correct information below for each product being returned.
|
Product |
Order Number |
Order Date |
Once this letter has been executed by the Customer and received by Seller, the Seller shall authorize the refund of the purchase price of the product, less a 10% restocking fee to cover the reseller's costs with visa/mastercard and the bank (not for the software developer). The letter must be signed with all fields below completed.. The letter must be signed with all fields below completed.
By Customer (all fields below must be completed)
| Signature: | |
| Name: | |
| Company Name: | |
| Address: | |
| City/State/Postal Code: | |
| Email Address: | |
| Date: | |
| Reason for Return: |