Form
Withdrawal from Services
Standard form for exercising the right of withdrawal from the contract
(complete and return this form only if you wish to withdraw from the contract)
To
I/We hereby give notice that I/we withdraw from my/our contract for the provision of the following 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