Free Contract Resolution Form

If you wish to exercise your right to freely terminate the contract, please copy and complete the statement below, filling in all the information requested in the ‘Comment’ field of the form:

• I hereby give notice that I wish to terminate my purchase and sale contract for the following item: [indicate the item]
• Ordered on: [order date]
• Received on: [date of receipt]
• Consumer name: [your full name]
• Consumer address: [full address]
• Date: [date of completion]