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Refunds & Exchanges |
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AFFIDAVIT ATTESTING TO NON-USE OF IMAGE/S |
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Your Name |
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Company Name |
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Billing Address |
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| ORDER
INFORMATION
(Available from your "My Account" area at www.comstock.com) |
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Order Number |
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Date of Purchase |
___ / ___ / ___ |
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Billing Address |
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PRODUCTS PURCHASED |
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Single Image #'s |
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Circle one:
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1mb |
2mb |
10mb |
14mb |
28mb |
56mb |
72mb |
120mb |
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Circle one:
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Royalty-Free |
Premium
Royalty-Free |
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| REASON
FOR RETURN OF PRODUCT (Required) |
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| I
UNDERSTAND THAT BY ACCEPTING A REFUND FOR THE ITEM(S) LISTED ABOVE: |
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I am relinquishing all
rights to possession and/or use of any of the single images listed
above and/or all the images on any CD listed above; I am confirming
that I have returned any and all original CD's and/or transparencies
that have been sent to me; I am confirming that I have deleted
and/or otherwise destroyed any and all copies of the image(s) and/or
CD's that I might have downloaded or made, be they electronic
copies, printed copies, or copies of any other kind in any medium
whatsoever; I further confirm that I have not conveyed copies of the
image(s) and/or CD's to anyone else; I am acknowledging my
understanding that should I retain and/or use and/or permit anybody
else to use any of the image(s), I am in direct and willful
violation of Comstock's copyright(s) and I am therefore liable for
actual or statutory damages as well as punitive damages, as per the
Copyright Act.
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AUTHORIZED SIGNATURE: |
_______________________________________ |
DATE: |
____________________________ |
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PRINT NAME: |
_______________________________________ |
PHONE:
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____________________________ |
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| Fax Completed form
to: 908-233-6620 |
| COMSTOCK IMAGES
/ 244 SHEFFIELD ST. /
MOUNTAINSIDE, NJ 07092 /
908-518-6200 |