Model Cancellation Form

To: LMS Celebrity Autographs Ltd
16 Maple Wood
Rushden, Northamptonshire NN10 0UN
United Kingdom
Email: sales@celeb-autographs.co.uk

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

Order Number: ___________________________
Ordered on: ___________________________
Received on: ___________________________

Name of consumer(s): ___________________________
Address of consumer(s): ___________________________
_______________________________________________
_______________________________________________

Signature (only if this form is notified on paper): ___________________________
Date: ___________________________

* Delete as appropriate.