Model Cancellation FormTo Prestige Warehouse Company Ltd, Alma Mill, Hart Street, Blackburn, Lancashire, BB1 1HW, United Kingdom, Email: firstname.lastname@example.org, Telephone: 01254 681082, Fax: 01254 580888.
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