Statement of Software Destruction

This Statement of Software Destruction ("Statement") is made effective as of (the date indicated below) by and between Cyser Software, Inc. ("Cyser") and (the Customer noted below). The Customer wished to receive a refund of the purchase price paid to Cyser for a license to use the FitDay software ("Product").

The Customer shall delete and destroy all of the Customer's copies of the Product, including without limitation, all copies on hard drives, diskettes, and/or CD-ROMS, serial numbers and product activation keys, as licensed to the Customer.

Upon receipt of this statement by mail in a timely manner and in accordance with Cyser's return policy, Cyser will provide a refund of the amount paid for the software plus any appropriate taxes charged with that order. Cyser will not refund any shipping or handling charges that may have been charged. Such refund will be made by a credit to the credit card used to purchase the software.

Signature:

Name (please print):

Date:

Return Merchandise Authorization (RMA) number:

Address:

City/State/Zip Code:

Complete the information above, and mail to:
Cyser Software, Inc.
Attn: Returns
733 Turnpike St. #150
North Andover, MA 01845
USA