Cancellation Form

 

 Date:

 

 

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)

 

Date: _____________________________________________

 

 Date:

 

 

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)

 

Date: _____________________________________________