Model cancellation form
To Dragon Ascension Therapies,
27 Whiteside Drive, Monkton, Prestwick, Ayrshire, KA9 2PU
cheryl@dragonascensiontherapies.co.uk:
I/We [*] hereby give notice that I/We [*] cancel my/our [*] contract of sale of the following goods [*]/for the provision 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.