Model cancellation form

To: NORDIC HS LTD, 71–75 Shelton Street, Covent Garden, London, WC2H 9JQ — info@nordic-hs.com

I hereby give notice that I cancel my contract of sale for the following goods:

______________________________________________

Order reference: ______________________________

Ordered on / received on: ________________________

Name of consumer: _____________________________

Address of consumer: ___________________________

______________________________________________

Date: ________________________________________

If sending electronically, typing your name is sufficient to identify the request. You do not have to use this form; a clear cancellation statement is also acceptable where a cancellation right applies.