Cancelation form

MODEL CANCELLATION FORM – SEE SECTION 6 OF OUR TERMS AND CONDITIONS

(Drafting Note: Complete and return this form only if you wish to withdraw from the contract)

To Elements Health & Wellness Limited

6 Millwright House
Basin Road, Diglis
Worcester
WR5 3GR
United Kingdom

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) [Consumer to insert name(s)],

Address of consumer(s) [Consumer to insert address],

Signature of consumer(s) [Note: signatures are only required if this form is notified on paper]

Date [Insert date]

[*] Delete as appropriate

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