Hurry, Get Yourself a Free Bottle of Heidsieck Monopole Champagne

Hurry, Get Yourself a Free Bottle of Heidsieck Monopole Champagne

Cancellation Form

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

Post the below form to Wyecliffe Galleries LLP , 6 York Road, Weybridge, Surrey, KT13 9DT if you wish to withdraw from the contract.

I/We^* hereby give notice that I/We^* cancel my/our^* condivact 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):

Date:

* Delete as appropriate

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