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Cancellation Form


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

To: 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),




[*] Delete as appropriate

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