Cancellation Form
Complete and return this form only if you wish to withdraw from the contract
To UK Vapour Brands Limited, t/a The Electronic Cigarette Company of The Old Fire Station, Manchester Road, Accrington, Lancashire, BB5 2BH and info@theelectroniccigarette.co.uk :
I/We [*] hereby give notice that I/We [*] cancel my/our [*] contract of sale of the following goods:
Order Number:
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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