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Cancellation Form

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

To Premier Plumbing & Heating Supplies
01761 418484
jamie@premier-phs.co.uk

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),

Date

[*] Delete as appropriate