to :  tlcHaberdashery

           20 BD10 0UJ
           United Kingdom
 Email : tlc.haberdashery@btinternet.com
 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.
 Goods / Service
 Order no:                                                                                                  Purchased on :
 Name of Buyer:
 Address of Buyer:
 Signature:                                                                                                                  Date: