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Model cancellation form

Use this only if you wish to cancel an eligible distance purchase. You do not have to use this form: any clear statement is sufficient.

Before sending it: check the published cancellation and returns information. Faulty, not-as-described or outbound-damaged goods have separate statutory protections.

Cancellation notice

To: Mark Worley

29 Risedale Road
Hemel Hempstead
HP3 9NW

Email: admin@whitefriarsglass.uk

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

Order number
Ordered on
Received on
Name of consumer(s)
Address of consumer(s)
Signature of consumer(s)
Only if this form is sent on paper
Date

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