MODEL CANCELLATION FORM

(Complete and return this form only if you wish to withdraw from the contract.)

To:      Anthony Xuereb
Email:   anthony@xuereb.co.uk
Address: [POSTAL ADDRESS — TO CONFIRM]


I/We [*] hereby give notice that I/We [*] cancel my/our [*] contract of sale
of the following goods [*]:

    ....................................................................

    ....................................................................


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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You do not have to use this form. Any clear statement that you are
cancelling is enough - an email saying so is fine, and is the quickest way.
This form exists because the law requires it to be made available, not
because it is the only way to cancel.
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