To

Pak Cosmetic Centre
25 - 27 Stroud Green Road
London N4 3EF
fax: 0044 (0) 207 272 6968
e-mail: customercare@pakcosmetics.com

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

Order Ref:_________________________

Ordered on: ____________________ / received on: ____________________

List Of Goods

Name of consumer(s)


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Address of consumer(s)

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

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Date:________________________