Cancellation Form

CANCELLATION FORM

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

To KOOKAÏ

I/We [*] hereby give notice that I/We [*] cancel my/our [*] contract of sale of the following goods:

Order Number	Item Code	Description

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:

 

Please paste this form into a word document or the body of an email, and print off and send this form to KOOKAI, 8-14 Hall Street Hawthorn East, VIC 3123 Australia, or email it to returns@kookai.com.au.

[*] Delete as appropriate