APPENDIX NO. 6b TO THE TERMS AND CONDITIONS – STATEMENT OF RESCISSION

                                                                        [date]

Dear Sir or Madam 

We refer to the following order:

Name of Buyer: ______________________________________________

Name of Seller: ______________________________________________

Order number: _______________

Order date: _______________

and our Request for Proper Performance dated [use date of Request for Proper Performance].

We note that despite our Request for Proper Performance and our two weeks deadline as of its receipt, you still fail to properly perform your obligation under the order referenced above.

We hereby declare 

                                                                                 rescission

of the order and its underlying purchase agreement [in its entirety / for the products remaining mal-performed even after our expired Request for Proper Performance, which are the following:]

Explanation 

We further make you aware that according to the terms of the merXu “Buy Risk Free” program to which you have equally subscribed, we will assign our claim for reimbursement of the Gross Price paid according to the terms of the “Buy Risk Free’ program. The Relevant merXu Company will notify you, once the assignment of the claim has been effected.