I affirm that I reside in:
Michigan, Texas, & Tennessee, USA
I agree to return the home sleep testing equipment to Supersomnia, LLC in the prepaid return packaging provided, with a postmark of no more than two days after the date I received it. I understand that I am responsible for the equipment until the prepaid, pre-labeled return box enters the mail circulation; if it is lost or stolen while in my possession, I am responsible for the full replacement value of $4,000. I agree to return the equipment intact and undamaged; I am responsible for the repair/replacement cost of any damaged/destroyed equipment.
I understand that after I submit my order, my credit card will be charged $295 for the home sleep testing service, which includes the limited use of the testing device, the review/analysis/evaluation of my test data by a physician, the test report that Supersomnia provides to me. An additional $200 hold will also be placed on my credit card in the event that I fail to return the home sleep test within 2 days after it is delivered to me. I understand that at that time, if I have not placed the test kit back into the postal system, I will then be charged for the $200 hold that was placed on my credit card.
7 days after the hold is charged, I will be charged $3,800.00, which is the value of the device ($4,000.00) minus the $200 hold already charged. If the device is returned to Supersomnia after the $200 hold or the replacement fee have been charged, and the device is found to be in good working condition, the $4,000.00 replacement fee will be refunded minus $50 per day since the $200 hold was charged.
If I return the testing device to Supersomnia with either no data or insufficient data for interpretation, I will have the option to either pay $50 for a second test to be sent to me, or receive a refund of the testing fee already paid, minus $50 for shipping and handling costs.
I understand that if I cancel my home sleep test order after it has already been shipped to me, I will receive a refund of the $295 fee, minus $50 for shipping and handling, for a total of $245. No late fees will be refunded, even if the test was unused.
If a test is 3 or more days late in being returned, no refunds will be given for an unused test or insufficient test data.
I certify that I will only use the home sleep test on myself.