Model Cancellation Form

(Complete and return this form only if you wish to cancel your order for a product)

To: ZENB UK Ltd., 2nd Floor, Building 10 Chiswick Park, 566 Chiswick High Road, Chiswick, London, United Kingdom, W4 5XS.

I/We [*] hereby give notice that I/We [*] cancel my/our [*] contract of sale of the following [products] [*],

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