COMPANY LETTERHEAD
{{company_name}}
{{company_address}}
Phone: {{phone}}
Email: {{email}}
Website: {{website}}
Return of Product on Free Trial
Date: {{date}}
To: {{supplier_company_name}}
{{supplier_company_address}}
Attention: {{contact_person}}
Subject: Return of Product on Free Trial – {{product_name}}
Product Information
Product Name: {{product_name}}
Model/Serial Number: {{model_number}}/{{serial_number}}
Trial Start Date: {{trial_start_date}}
Trial End Date: {{trial_end_date}}
Trial Agreement Reference: {{trial_agreement_reference}}
Reason for Return
Please select the primary reason(s) for returning the product (tick all that apply):
☐ Product did not meet expectations regarding features/functionality.
☐ Product did not integrate well with existing systems.
☐ Performance issues experienced (please elaborate below).
☐ Cost of ownership/subscription too high.
☐ No longer require the product/service.
☐ Other (please specify): {{other_reason_for_return}}
Detailed explanation (optional): {{detailed_explanation_of_return}}
Condition of Returned Product
I/We confirm that the product is being returned in the following condition:
☐ Excellent (as new, no damage or defects)
☐ Good (minor wear and tear, no significant damage)
☐ Fair (some noticeable wear and tear, minor cosmetic defects)
☐ Poor (significant damage, not in working order)
If 'Poor' or 'Fair', please describe any damage or defects: {{damage_description}}
Are all original accessories, packaging, and documentation included? ☐ Yes / ☐ No
If No, please list missing items: {{missing_items}}
Declaration
I/We hereby declare that the information provided above is accurate and true to the best of my/our knowledge. I/We understand that any damage to the product beyond normal wear and tear during the trial period may result in charges as per the free trial agreement.
SIGNATURE
___________________________
Name: {{customer_name}}
Title: {{customer_title}}
Company: {{customer_company_name}}
Date: {{signature_date}}
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