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

To:       Custom Covers (1984) Ltd
            Quayside Road
            Bitterne Manor
            SO18 1AD

            Tel: 023 8033 5744

            Email: sales@customcovers.co.uk

I/We [*] hereby give notice that I/We [*] cancel my/our [*] contract of sale of the following goods [*],

Ordered on [*]/received on [*],

Name of consumer(s),

Address of consumer(s),

Signature of consumer(s) (only if this form is notified on paper),



[*] Delete as appropriate

Order before 12pm (Midday) for same day despatch

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