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Withdrawal Form

If you would like to withdraw from your contract with us, please complete this form and send it back to us:

either at our address:

Banned Ecomm Ltd

Unit 1, Westfield Close

Rawreth Industrial Estate,



or scanned/photographed by E-Mail:

I would like to withdraw from my contract for the purchase of goods as listed: ________________________________________________________________________________________________________________________________________________________________ ________________________________________________________________________________________________________________________________________________________________

(* list items for which you wish to withdraw)

Order Number ____________________ (* Please give us the Order Number this relates to which you will find on your confirmation of order email or within your account details) (*)

Bought on _________________ (*date) /delivered on : ______________ (*date): Customer Title ______________________________________

Customer Name ______________________________________

Customer Signature ____________________________________ (No need for signature unless returning this form by hard copy)

Date _______________________________________________

(*) Complete or delete as applicable.