Do not sign this agreement before you read it or if any spaces intended for the agreed terms are blank.

     You are entitled to receive a copy of this agreement at the time you sign it.

     The seller's business address must be shown on the agreement.

Section 1 CANCELLATION - WITHIN THREE DAYS

Purchaser's Initial . . . . . . . . . . . .

     You may cancel this agreement within three days, without explaining your reasons, if the seller solicited it in person and you signed it at a place other than the seller's business address.

     To cancel this agreement without explaining your reasons, you must notify the seller in writing that you are canceling the agreement. You may deliver the written notice to the seller at the seller's business address. Alternatively, you may send the written notice by certified mail, return receipt requested, to the seller at the seller's business address.

     Your written notice must be mailed or delivered by midnight of the third business day after you signed this agreement.

     Any merchandise you received under this agreement must be in its original condition. You must return it to the seller or make it available to the seller at the same place it was delivered to you.

     The seller must refund to you all deposits, including any down payment, and must return to you all goods traded in as part of the agreement.

     You will incur no additional liability for canceling the agreement.

Section 2 RECISION - WITHIN THIRTY DAYS

Purchaser's Initial . . . . . . . . . . . .

     You may rescind (or terminate) the agreement within thirty days, for reasonable cause. This thirty-day period is called the "recision period."

     To rescind this agreement, you must notify the seller in writing that you are rescinding the agreement for reasonable cause pursuant to RCW 18.35.185(1). (Reasonable cause does not include cosmetic concerns or a mere change of mind.) You may deliver the written notice to the seller at the seller's business address. Alternatively, you may send the written notice by certified mail, return receipt requested, to the seller at the seller's business address.

     Your written notice must be mailed or delivered by midnight of the thirtieth day after ((you signed this agreement)) delivery of the hearing instrument.

     Any merchandise you received under this agreement must be in its original condition, except for normal wear and tear. You must return it to the seller or make it available to the seller at the same place it was delivered to you.

     The seller must refund to you all deposits, including any down payment, and must return to you all goods traded in as part of the agreement. However, for each hearing instrument you return, the seller may keep either one hundred fifty dollars or fifteen percent of the total purchase price, whichever is less. The seller also may deduct any costs incurred in making traded-in goods ready for resale.

     The seller must refund your money and return your traded goods, or have them postmarked and in the mail to you, within ten business days after receiving your notice of recision.

     You will incur no additional liability for rescinding the agreement.

Section 3 EXTENSION OF RECISION PERIOD

Purchaser's Initial . . . . . . . . . . . .

     If you notify the seller within the thirty-day recision period that your hearing instrument has developed a problem that constitutes reasonable cause to rescind the agreement or that prevents you from evaluating your hearing instrument, the seller must extend the recision period. The recision period stops running on the date you notify the seller of the problem and starts running again on the date the seller notifies you that your hearing instrument is ready for redelivery.

     You and the seller may agree to a recision period longer than thirty days.

     Whenever the recision period is extended, the seller must provide you written notice of the last date upon which you may demand a refund and return of traded goods.