Model Cancellation Form

You may copy the wording below into an email or print this page. Only complete and return it if you wish to cancel an eligible distance contract.

To: MQ MODERN LIVING LTD, 17a Sutton Court Road, Sutton, England, SM1 4FG

Email: info@mqmodernliving.com

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

____________________________________________

Order number: __________________________________

Ordered on / received on: _______________________

Name of consumer(s): ____________________________

Address of consumer(s): _________________________

____________________________________________

Signature (only if submitted on paper): ___________

Date: __________________________________________