I/we hereby give notice that I/we wish to cancel my/our contract of sale for the
following goods:
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or for the provision of the following Services:
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Ordered on [dd/mm/yyyy] / received on [dd/mm/yyyy]
Name of Consumer(s)
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Address of Consumer(s)
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Signature of Consumer(s)
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Date [dd/mm/yyyy]
Please return to:
Customer Services
The Irish Times Limited
The Irish Times Building
PO Box 74
24–28 Tara Street
Dublin 2
Ireland