THIS FORM MUST BE MAILED TO US. IT CAN NOT BE SUBMITTED ELECTRONICALLY. PLEASE COMPLETE ALL FIELDS. IF YOU CANNOT PRINT THIS PAGE OUT PROPERLY PLEASE NOTIFY US.

Please do remember it is a criminal offence to cancel a payment for goods already received. Do NOT cancel your credit card - we will refund you.

Date:___________________

Letter of Intellectual Property Acknowledgment and Destruction

This AGREEMENT is made between LitexMedia, Inc. and the Customer as named below.

Product Name: ___________________

Version Number: ___________________

Order Number: ___________________ (please see order acknowledgment email - we must have this number to find your order on our system)

The Customer, by completing and signing this document agrees to "destroy" or return any copy of the aforementioned Product received under the above Order Number. LitexMedia, Inc. agree to refund the purchase price of the product to the Customer on confirmation by completion of this document by the customer and returning an original signed copy.

Customer Name: ___________________

Address: ___________________

email address: ___________________

Signature: ___________________

Please print the above request text, put all required information and send it by post mail to:

Konstantin Vorobyov
20 let RKKA 10-56
644001, Omsk, Russia