Optional cancellation request form
To: Louise Mason, 6 Eastwood Rd, Leicester, LE2 8DB
e-mail: [email protected]
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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