Sample Cancellation Form

 

To: AnnieGirl Multi-Media, 188 Pinecrest Drive, Alexander, NC 28701, USA,

 

From:_____________________________________________________________

 

I give notice that I cancel my contract of sale of the following goods or AGMM Service: ________________________________________________________________

 

Ordered/Received on: ______________________________________________________

 

My name: ________________________________________________________________

 

My home address: __________________________________________________________

 

My email address: ____________________________________________________________

 

My signature (if submitting this form on paper): _______________________________________

 

Date: __________________________________