MODEL CANCELLATION FORM (Complete and return this form only if you wish to cancel the contract.) To: Silverstone Cerakote Ltd, Unit 22, Burcote Wood Business Centre, Wood Burcote, Towcester, Northamptonshire, NN12 8TA Email: contact@silverstonecerakote.co.uk I/We hereby give notice that I/We cancel my/our contract for the supply of the following service: Order reference: Ordered on: Name of consumer(s): Address of consumer(s): Signature of consumer(s) (only if this form is sent on paper): Date: