Model Cancellation Form

This is a model cancellation form as specified by the Consumer Contracts Regulations 2013. Please print, complete and return this form to withdraw from a contract with a seller.

(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]




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 consumers():




Date:


[*]Delete as appropriate.

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