Product Return Form

Please complete the form below and choose File|Print from your browser menu. Fax it to us at 1-(877) 876-6284 or 1-(425) 533-0718.

Contact Information

Name:    
Company: Email:
Address: Phone:
City: Fax:
State: Zip: Country:

Product & Purchase Information Information

Which product did you order?

 Extreme Optimization Mathematics Library for .NET</input>
 Extreme Optimization Statistics Library for .NET
 Extreme Optimization Numerical Libraries for .NET</input></input>

Serial number:
  
            License:&nbsp;<input id="checkbox7" type="checkbox" name="checkbox7" style="border-style: none; border-color: inherit; border-width: 0px; width: 27px;">Single
            <input id="checkbox10" type="checkbox" name="checkbox10" style="border: 0">Team
            <input id="checkbox11" type="checkbox" name="checkbox11" style="border: 0">Department
            <input id="checkbox9" type="checkbox" name="checkbox9" style="border-style: none; border-color: inherit; border-width: 0px; width: 18px;">Site<br/>
<br/>
Where did you purchase your product?<br/>
<input id="checkbox6" type="checkbox" name="checkbox6" style="border: 0">&nbsp;Directly 
from&nbsp;Exoanalytics Inc.&nbsp;&nbsp;&nbsp;<input type="checkbox" style="border: 0">&nbsp;Purchased from reseller. Specify: <input size="16"><br/>
<br/>
Please fill in the dates of purchase and return, and pricing information</input></input></input></input></input></input></input>
Purchase date: Return date:
Purchase price: Shipping cost:

Reason for Return

Please indicate why you want to return this product, so we can make our products better in the future. Your comments are greatly appreciated.

This is a legal agreement between you (either an individual or an entity) and Exoanalytics Inc. (“Exoanalytics”).

  1. You agree to immediately destroy all copies of the software and its serial numbers.
  2. You confirm that you have not distributed any of the redistributable components, as described in section 7 of the license agreement.


Customer signature: _____________________________________________ Date: