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: __________________________________________

