REFUND AGREEMENT AND GENERAL RELEASE

This Refund Agreement And General Release (the “Agreement”) is made on this __th
day of Month, Year (the “Effective Date”), by and between KSM International, Limited
Liability Company and a Colorado corporation with place of business at 3980 Broadway
Avenue, Suite 203, Boulder Colorado 80304. KSM International and Full Name residing at
Address, City, State Zip Code are hereinafter sometimes referred to individually as a “Party”
and collectively as the “Parties.”
Whereas, KSM International is in the business of, among other things, organizing
self-empowerment programs; and Full Name signed up to participate in the Name of
Program.
Whereas, Full Name no longer wishes to participate in the Name of Program and is
requesting a refund.
Now, Therefore, in consideration of the mutual covenants contained herein and
other good and valuable consideration, the receipt and sufficiency of which is hereby
acknowledged, the Parties agree as follows:
1) Refund Payment. Within five (5) business days following the mutual execution of this
Agreement, KSM International shall pay Full Name $Amount– 3% processing fee - $100
administration fee) in full and complete settlement and satisfaction of any and all
disputes or outstanding debits between the Parties including, without limitation the
dispute arising from Full Name potential participation in the Program (the “Refund
Payment”). The Refund Payment shall be issued via credit card to Full Name residing at
Address, City, State Zip Code.
2) Release by the Customer. Full Name, on behalf of themselves, and their respective
heirs, estates, administrators, successors and assigns hereby unconditionally releases
and forever discharge (i) Kristin Sweeting Morelli and her heirs, estate, administrators,
successors and assigns, and (ii) KSM International LLC, and its agents, employees,
representatives, managers, members, predecessors, successors, parents, subsidiaries,
assigns, and affiliates, and from any and all claims, causes of action, demands,
obligations, liabilities, damages, attorneys’ fees, costs, and expenses of any type and
nature whatsoever, whether in law or in equity (individually and collectively
 “Claim(s)”) whether known or unknown, either existing or that may exist from the
beginning of time to the date of this release.
3) No Admission of Liability. This Agreement is being entered into for the purpose of
amicably and finally settling the Parties’ dispute with respect to matters described in
the recitals set forth above and nothing herein shall be deemed or construed as an
admission of liability by any Party with respect to such dispute or any other matter.
This Agreement shall not be used or construed in connection with any other suit or
other proceeding, either now pending or as may be brought, as an admission or
concession of liability or otherwise on the part of any Party hereto.
4) Non-Disparagement. Full Name agrees not to disparage KSM International in any
manner. For the avoidance of doubt, disparagement shall mean disparaging or
otherwise making any false or negative statements about the products, services,
members, managers, or employees of any Party. Full Name acknowledges that a breach
of this Paragraph 5 will result in irreparable harm which cannot be fully compensated
by monetary damages. Accordingly, in addition to any other remedy, which may be
available to it/them, KSM International shall be entitled to injunctive relief to address
any actual or threatened violation of this Paragraph 5.
5) Representations and Warranties. To induce KSM International, to enter into this
Agreement, Full Name represents and warrants as follows:
a) No statements or representations made by or on behalf of any Party to this
Agreement, except as specifically recited in this Agreement, have influenced,
induced, or caused Full Name to make this settlement or to execute this Agreement.
b) This Agreement contains the entire agreement between the Parties as to the
settlement of their dispute, and there are no other written or oral terms or
agreements except for those contained in this Agreement.
c) Only representations contained in this Agreement, and no others, shall be
admissible to establish the execution or inducement of this Agreement.
d) Full Name has read this Agreement in its entirety and have the full legal authority
and power to enter into this Agreement and grant the release set forth in Paragraph
3 above.

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 e) Full Name has either been represented by and has consulted with counsel of their
choice in connection with the negotiation, drafting, and execution of this Agreement
or has knowingly waived their right to do so.
f) No party other than Full Name has a claim or right to receive the Refund Payment.
g) As of the Effective Date, Full Name owns all right, title and interest in and to all
Claims being released or waived by them pursuant to Paragraphs 3 above, free and
clear of all liens, security interests, encumbrances, rights of subrogation or other
third party claims.
6) Mutual Indemnification. Each Party agrees to indemnify, defend and hold any other
Party harmless from and against any and all liability, suits, actions, claims, demands,
losses, damages, deficiencies, costs, obligations, and expenses, including without
limitation attorneys’ fees and all amounts paid in settlement of any claim, action, or suit,
incurred as the result of any breach by the indemnifying Party of any representation,
warranty, agreement or release contained in this Agreement.
7) Confidentiality. Full Name represents and agrees that he/she will keep the terms of
this Refund Agreement and General Release completely confidential. Full Name further
agrees that he/she will not hereafter disclose any information concerning the contents
of this Agreement to anyone, specifically including, but by no means limited to, any past,
present, or prospective customer or affiliate of KSM International or to any
representative of any media, except for legal and tax advisors who will also be informed
of the terms of this confidentiality provision and their obligations to comply with it.
Notwithstanding the foregoing, this Agreement may be disclosed as required by
applicable securities or other laws, and introduced as evidence in any action to enforce
the terms of this Agreement.
8) Miscellaneous.
a) This Refund Agreement and Mutual Release shall be deemed to have been made in
the State of Colorado and shall be subject to, and governed by, the laws of the State
of Colorado, and no doctrine of choice of law shall be used to apply any law other
than that of the State of Colorado. Each party hereby irrevocably consents and
submits to exclusive jurisdiction of the State courts sitting in Boulder County,
Colorado, for all purposes under this Agreement, and waives any defense to the

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 assertion of such jurisdiction based on inconvenient forum or lack of personal
jurisdiction. The Parties also agree to waive any right to jury trial.
b) If any court of competent jurisdiction holds any portion of this Agreement void or
unenforceable for any reason, such holding shall have no effect upon any other
portion of this Agreement, and all other portions of this Agreement shall remain
valid and in full force.
c) Each Party shall bear and be responsible for all counsel fees and expenses incurred
by them in connection with the resolution of the Parties’ dispute including, without
limitation, fees and expenses incurred in connection with the preparation of this
Agreement.
d) The provisions of this Agreement shall survive the execution and delivery of this
Agreement and the payment of the Refund Payment.
e) This Agreement shall be binding upon the Parties hereto and upon their heirs,
agents, employees, representatives, officers, shareholder, successors and assigns
and shall inure to the benefit of said parties and to their respective heirs, agents,
employees, representatives, officers, shareholders, successors and assigns.
f) This Agreement may be executed in counterparts, each of which shall be deemed an
original and together shall constitute one instrument. Facsimile signatures shall be
deemed to be of the same effect as original signatures.

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In witness whereof, the Parties have caused this agreement to be executed as of the
Effective Date.
KSM International, LLC

By: ________________________________
__________________
Date: ________________________________ FULL NAME

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