STATEMENT OF NON-RETENTION

 

I have personally destroyed all copies of the software I am returning:

Product: ____________________ serial #: ______________________
Product: ____________________ serial #: ______________________
Product: ____________________ serial #: ______________________
Product: ____________________ serial #: ______________________
Product: ____________________ serial #: ______________________

No other copies exist anywhere, in any form.

I understand the PowerBASIC Satisfation Guarantee applies only to a single return and will not be available to me in the future.

RMA: ________________


Name (printed): _________________________________________


Signature: __________________________________________


Date: ___________________



PowerBASIC Fulfillment
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Venice, FL 34293

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