Withdrawal Form

Model Withdrawal Form

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

To SEO Webroute LTD., Unit 6 Hill View Studios, 160 Eltham Hill, SE9 5EA London, United Kingdom, Email: info@webroute.com

I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract for the provision of the following service:

Ordered on (*) / received on (*):

Name of consumer(s):

Address of consumer(s):

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

Date:

(*) Delete as appropriate.

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