You may cancel this contract, without any penalty or obligation, at any time prior to midnight of the third business day after the date the contract is signed.

If you cancel, any payment made by you under this contract will be returned within ten days following receipt by the seller of your cancellation notice.

To cancel this contract, mail or deliver a signed and dated copy of this cancellation notice, or any other written notice, to

________________________________________ (Name of Seller)

At ________________________________________ (Address of Seller)

________________________________________ (Place of Business)

Not later than midnight____________________ (Date)



Printed name Signature Date

Spouse if applicable:


Spouse’s printed name Spouse’s signature Date

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