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Software Refund Request Form
To apply for
a refund on a software
product you purchased from us, please email this form within 15 days immediately
following your purchase to:
customer-support@e-securion.com
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Customer Support
Case #:
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[Type the number that
you received from customer support ] |
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You need a customer support case number before we can process this form
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Please Explain Reason for Refund
Request: ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Name of Software Product ____________________________________________
Company Licensed To ________________________________________________
Mailing Address ______________________________________________________
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Your Name ________________________________________________________
Email Address _______________________________________________________
Date of Purchase ______________ Date of Refund Request ________________
Invoice/Order Number ________________________________________________
Total Purchase Price _________________________________________________________________
License Key code _____________________________________________________
Please complete All Fields
Note that SSI reserves
the right to issue no refunds.
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