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(Electronic Software Product Letter of Destruction)
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Please fully complete this form, as incomplete information may delay processing of your request. Please fully complete this form, as incomplete information may delay processing of your request.
-This Letter of Destruction is made and entered into by and between headus (metamorphosis) Pty Ltd and ___________________________________________ ("Customer").+This Letter of Destruction is made and entered into by and between headus (metamorphosis) Pty Ltd
 + 
 +and ___________________________________________ ("Customer").
 + 
 +<br>
{| {|
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|Customer Address: |Customer Address:
|__________________________________________ |__________________________________________
 +|-
 +|&nbsp;
|- |-
| |
|__________________________________________ |__________________________________________
 +|-
 +|&nbsp;
|- |-
| |
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|Product Name: |Product Name:
|__________________________________________ |__________________________________________
 +|-
 +|&nbsp;
|- |-
|Ether ID: |Ether ID:
|__________________________________________ |__________________________________________
 +|-
 +|&nbsp;
|- |-
|Reason: |Reason:
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When completed, please fax to headus at +61-8-9443-1632, or scan in a signed printout and email it to jill@headus.com.au. When completed, please fax to headus at +61-8-9443-1632, or scan in a signed printout and email it to jill@headus.com.au.
 +
 +<br>
{| {|

Revision as of 01:23, 28 September 2007

Use PDF to Print - LOD.pdf

Electronic Software Product Letter of Destruction

Please fully complete this form, as incomplete information may delay processing of your request.

This Letter of Destruction is made and entered into by and between headus (metamorphosis) Pty Ltd

and ___________________________________________ ("Customer").


Customer Address: __________________________________________
 
__________________________________________
 
__________________________________________
 
Product Name: __________________________________________
 
Ether ID: __________________________________________
 
Reason: __________________________________________


The undersigned hereby declares, under penalty of perjury by law, that as of the date of this Letter, I have taken the necessary measures to delete and destroy the Software. In order to delete and destroy the Software, I have taken the following steps:

  1. Relinquished all rights to use and upgrade the Software
  2. Destroyed any and all electronic copies of the Software
  3. Deleted the license key received from headus

When completed, please fax to headus at +61-8-9443-1632, or scan in a signed printout and email it to jill@headus.com.au.


Signature: ____________________________________
 
Print Name: ____________________________________
 
Date: ____________________________________