Model Cancellation Form

 Please copy the following form and return it to us at:

(Complete and return this form only if you wish to withdraw from the contract)

 

To [TRADER'S NAME, ADDRESS, TELEPHONE NUMBER AND, WHERE AVAILABLE, FAX NUMBER AND E-MAIL ADDRESS TO BE INSERTED BY THE TRADER]

 

I/We [*] hereby give notice that I/We [*] cancel my/our [*] contract of sale of the following goods [*]/for the supply of the following service [*]

 

Ordered on [*]/received on [*]

 

Name of consumer(s)

 

Address of consumer(s)

 

Signature of consumer(s) (only if this form is notified on paper)

 

Date

 

[*] Delete as appropriate

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