Annex B — Model Cancellation FormAnnex B — Model Cancellation Form
For consumer orders placed online/at a distance. Use this form only if you wish to cancel the contract within your statutory cooling-off period.
Nothing in this Schedule affects your statutory rights as a consumer.
To:
- Pretium Synergy Ltd
- Website: https://pretiumsynergy.co.uk
- Email: [insert cancellations email]
- Postal address: [insert full postal address for returns/correspondence]
I/We hereby give notice that I/We cancel my/our contract for the supply of the following goods/services:
- Order number: __________________________
- Product(s)/Service(s): __________________________
- Ordered on / received on (delete as appropriate): ____ / ____ / ______
- Customer name: __________________________
- Customer address: __________________________
- Customer phone/email: __________________________
If goods have been delivered:
I will send the goods back without undue delay and no later than 14 days from the day I told you I was cancelling.
- Address for returns (if different): __________________________
- Preferred collection (if applicable and agreed): __________________________
Signature (only if this form is notified on paper): __________________________
Date: ____ / ____ / ______
