Cancellation Form

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

To Pillbox38 (UK) Limited t/a Totally Wicked of Stancliffe Street, Blackburn, Lancashire BB2 2QR and info@totallywicked-eliquid.co.uk :

 

I/We [*] hereby give notice that I/We [*] cancel my/our [*] contract of sale of the following goods:

 

 

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

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