Model Cancellation Form

To: Vellora

427 Saint Richard's Road
Deal, England
CT14 9LH
United Kingdom

Email: support@vellora.co.uk

I/We hereby give notice that I/we cancel my/our contract of sale for the following goods:

Order number: __________________________

Product(s): _____________________________

Ordered on: _____________________________

Received on: ____________________________

Customer name: _________________________

Customer address: _______________________

Date: ___________________________________

Signature: _______________________________

(Only required if this form is submitted on paper.)