Model Cancellation Form

To: Summerill & Bishop, customerservice@summerillandbishop.com

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

Description of goods:

Order reference number:

Ordered on / received on:

Name of customer(s):

Address of customer(s):

Signature of consumer(s) (only if this form is notified on paper):

Date: