REFUND REQUEST FORM



REFUND AGREEMENT

THIS DOCUMENT MUST BE EITHER FAXED OR MAILED TO US. IT CAN NOT BE SUBMITTED ELECTRONICALLY.

Do NOT cancel your credit card payment - we will refund it. All other refunds will be made with a check.

Letter of Intellectual Property Destruction

This AGREEMENT (the "Agreement") is made and entered into by and between ArcticLine Software and the Customer as named below. The Customer agrees to take the necessary measures to delete and destroy the intellectual property described below and licensed to Customer.

ArcticLine Software shall refund the purchase price of the product (except of processing fee) to the Customer once this letter has been executed by the Customer and received at ArcticLine Software. Customer acknowledges that any continued use of the software product would constitute willful copyright

infringement for which customer may be liable for civil damages of up to $100,000.

This form must be filled out completely to ensure proper credit.

|Product Title: | | | |

|Order Number: | | | |

| |(please see your order acknowledgment email for this number) |

|By Customer: | | | |

| |(Print Name) |

|Signature: | |Date: | |

| | | | |

|Address: | | | |

| | | | |

|Email Address: | | | |

|Reason for Return: | | | |

| | | | |

Please return this completed form to:

ArcticLine Software

2153 Station Terminal

Vancouver BC V6B 3V3

Canada

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