To: Homebase, Customer Services
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:
Ordered on/received on:
Name of consumer(s):
Address of consumer(s):
Signature of consumer(s): (only if this form is notified on paper)
Please send this form or otherwise contact us at any time at Homebase, Witan Gate House, 500/600 Witan Gate, Milton Keynes, MK9 ISH.