Model Cancellation Form for Consumer Customers
(Download, Complete and return this form only if you wish to withdraw from the contract)
To Violet & George Limited, 57 St Helens Gardens, London W10 6LN, telephone +44 (0)20 8969 0654, email email@example.com.
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 consumer(s) (only if this form is notified on paper),
[*] Delete as appropriate
© Crown copyright 2013.