Model Cancellation Form

Cancellation Form

To Snap Group Limited

Address: Snap Group Limited, Pixy Support,

7-11 Lexington Street, London W1F 9AF, United Kingdom

Email: support@pixy.com

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

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:

[*] Delete as appropriate