Model cancellation form

To: Steve Dixon trading as Ask Steve
33 Blagrove Drive, Wokingham, RG41 4BD
steve@askstevenow.co.uk

I hereby give notice that I cancel my contract for the supply of the following service:

Contract / booking date:

Name of consumer:

Address of consumer:

Signature of consumer (only if this form is submitted on paper):

Date:

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