COMPLETE AND RETURN THIS FORM ONLY IF YOU WISH TO CANCEL YOUR ORDER
To: email@example.com or DICE FM Limited, 62 Shoreditch High Street, London E1 6JJ.
[*] Delete as appropriate:
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 sent by mail):