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    Model Cancellation Form

    (complete and return this form only if you wish to cancel your contract)

    — To

    Post: [INSERT RELEVANT ADDRESS TO RECEIVE THE CANCELLATION]

    Email: [INSERT RELEVANT EMAIL ADDRESS TO RECEIVE THE CANCELLATION]

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