CANCELLATION FORM
(Complete and return this form only if you wish to withdraw from the contract)
To: The Healthful Group T/A Totally Healthful, 12 Dalby Court, Gadbrook Business Centre, Northwich, Cheshire, CW9 7TN. Telephone number: 01565 740777
I/We [*] hereby give notice that I/We [*] cancel my/our [*] contract of sale of the following goods [*]/for the supply of the following service [*],
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