SERVICE CANCELLATION FORM
(Return this information only if you wish to withdraw from a membership contract.  Please note that you may not receive a refund.)

To: The Association of Illustrators Limited, Somerset House, T7 3rd Floor Somerset House, Strand, London WC2R 1LA. Email: [email protected] Telephone: 0207759 1010.

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

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