Model cancellation form

To: Plenty Koffee Ltd, 167–169 Great Portland Street, London W1W 5PF
Email: orders@plentykoffee.com

I hereby give notice that I cancel my contract for the sale of the following goods:

Goods: ______________________________________________

Order number: ________________________________________

Ordered on / received on: ______________________________

Customer name: _______________________________________

Customer address: _____________________________________

Signature (only if submitted on paper): ____________________

Date: ________________________________________________