ANNEX — MODEL CANCELLATION FORM (CONSUMERS ONLY)

Complete and return this form only if you wish to cancel a consumer order within the 14-day cancellation period. You may also simply email us at info@prosolve.uk.

To: PROSOLVE LTD, 483 Green Lanes, London, England, N13 4BS — info@prosolve.uk

I/We [] hereby give notice that I/We [] cancel my/our [*] contract for the following order:

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.

PROSOLVE LTD · Company no. 13955695 · 483 Green Lanes, London, England, N13 4BS · info@prosolve.uk · +44 330 321 0494