Model Cancellation Form

You may use this form to tell Boltz Electronics that you wish to cancel an eligible consumer contract. Use of this form is not compulsory; any clear statement of cancellation is sufficient where a statutory cancellation right applies.

To: Boltz Electronics
Current business/service address: 3 Victoria Avenue, Alfonso Street, Hull, HU3 2TP, England
Email: sales@boltzelectronics.co.uk

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 or service: ______________________________

Order number: ______________________________

Ordered on: ______________________________

Received on: ______________________________

Name of consumer(s): ______________________________

Address of consumer(s): ______________________________

Signature of consumer(s), only if this form is sent on paper: ______________________________

Date: ______________________________

Please delete or ignore wording that does not apply. You can send the information by email or another clear written statement; you do not have to print this form.