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Order refund request

Pilot Group Company

THIS FORM MUST BE MAILED OR FAXED TO US. IT CAN NOT BE SUBMITTED ELECTRONICALLY. PLEASE COMPLETE ALL FIELDS. IF YOU CANNOT PRINT THIS PAGE OUT PROPERLY PLEASE NOTIFY US.

Please do remember it is a criminal offence to cancel a payment for goods already received. Do NOT cancel your credit card - we will refund you.

Date:___________________

Letter of Intellectual Property Acknowledgment and Destruction

This AGREEMENT is made between Pilot Group Company and the Customer as named below.

Product Name: ___________________

Version Number: ___________________

Order Number: ___________________ (please see order acknowledgment email - we must have this number to find your order on our system)

The Customer, by completing and signing this document confirms that the Software Product was ordered and received by him on ______________________________ personally (according to the name indicated above) and agrees to "destroy" or return any copy of the aforementioned Product received under the above Order Number in case Refund is issued.
If so, Pilot Group Company agrees to refund only the purchase price of the product to the Customer on confirmation by completion of this document by the customer and returning an original signed copy.

Customer Name: ___________________

Address: ___________________

Email address: ___________________

Signature: ___________________

Please print the above request text, put all required information and send it by post mail to:

26 , Leninsky Pr., Yoshkar-Ola, Mari-El, 424000, Russia
Or Fax: 866-468-1015.
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