MODEL CANCELLATION FORM Complete and return this form only if you wish to cancel the contract. To: Alison Thomas, sole trader trading as Tote-Ali Hooked 12 Manorfield Road Driffield East Yorkshire YO25 5JE Email: ali@totealihooked.com I/We hereby give notice that I/We cancel my/our contract of sale of the following goods: Ordered on / received on: Name of consumer(s): Address of consumer(s): Signature of consumer(s) (only if this form is sent on paper): Date: Delete wording as appropriate.