Model Cancellation Form for consumer customers

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

To CanCan Refunds, The Services Platform Limited, a company registered in England with number 15668215 and registered office at Mermaid House, 2 Puddle Dock, London, England, EC4V 3DB (or email to: contactus@cancan.uk).

I/We [] hereby give notice that I/We [] cancel my/our [] contract for the supply of the following goods/services [],

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