SciTech Display Doctor Letter of Intellectual Property Destruction Please fill out this form completely, sign the statement at the bottom of the page and enclose this letter with your return shipment. PLEASE PRINT CLEARLY OR TYPE Name: ______________________________________________________________ Company: ___________________________________________________________ Address: ___________________________________________________________ City: _______________________________ State: ______________________ Country: ____________________________ Zip/Postal Code: ____________ Original Purchase Date: _____________ Invoice # ___________________ Reason for Return: [ ] Didn't function properly [ ] Didn't need/want it [ ] Didn't fix my problem (please explain) __________________________ [ ] Wasn't what I expected [ ] Didn't support my graphics hardware Type of graphics hardware _______________________________________ [ ] Applications didn't run after installed [ ] Couldn't figure out how to use it [ ] Other (please explain) __________________________________________ I certify that I have ceased using SciTech Display Doctor, uninstalled the software from my PC, and destroyed all copies of the software in my possession. I am returning the full software package including all disks, manuals, and registration cards to SciTech Software for a full refund or product replacement. ______________________________________________ _________________ Signed Date