Complete and return this form, only if you wish to cancel the contract.
Order cancellation form
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) _______________________________________________________