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Complete and send this form only if you wish to cancel an eligible distance contract.

To: Aklavy Aklavy, J6XR+2X8, Etawah 206120, India — info@sizzleandsteel.co.uk

I hereby give notice that I cancel my contract of sale for the following goods:

____________________________________________

Order number: ______________________________

Ordered on / received on: ___________________

Customer name: _____________________________

Customer address: ___________________________

Signature (only if sent on paper): ____________

Date: _____________________________________