Model Cancellation Form

(Complete and return this form only if you wish to withdraw from the Agreement)

To Unlimited Web Hosting UK Limited (t/a "1st Domains")

- The Copper Room, Deva Centre, Trinity Way, Manchester, M3 7BG

- [email protected]

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

Ordered 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