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():
[*]Delete as appropriate.