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Bio Bidet Replacement Form

By completing this form, you agree to accept a replacement product of the same model from Bio Bidet Innovation LLC with the understanding that if the original product is not returned to Bio Bidet Innovation LLC after 30 days of receipt of the replacement, Bio Bidet Innovation LLC has your authorization to charge your credit card for the full value of the replacement product.

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Value is required
Value is required
Value is required
Value is required
Value is required
Value is required
Value is required
Value is required
Value is required
Value is required

You authorize the Bio Bidet Innovation LLC to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above in the event that I do not return my original product to the Bio Bidet Innovation LLC service center located at 7900 S IL RTE 31, Crystal Lake, IL 60014 within 30 days of receiving the replacement product. This authorization is valid for one time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated on this form. You further agree that, by keeping the original product, you, your agents, affiliates, successors and assigns, shall release, defend, indemnify, and hold harmless Bemis, its affiliates, and each of its officers, agents, employees, assigns and successors in interest from and against, any and all liability, damages, losses, claims, demands, allegations, actions, causes of action, costs (including attorney's fees and expenses), or any of them, past, present or future, known or unknown, arising out of or in connection with the original product. Further, you agree to waive all future warranty claims associated with defects in the original product.  

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