Complete and return this form, only if you wish to cancel the contract.

 

 

Order cancellation form

 

To: Carahealth, 24 Waterlane, Galway, Ireland, H91 VH9X. This email address is being protected from spambots. You need JavaScript enabled to view it.

 

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) _______________________________________________________

 

Date: ____________________________________