Notice to Cancel Certain Contracts

To Whom It May Concern:

This letter constitutes written notice to you that I am canceling the following contract:
Seller: ______________________________________________
Address:	____________________________
____________________________
Buyer: ____________________________________________
Address:	____________________________
____________________________
Contract pertains to the following goods/services purchased: _____________________
Date contract signed for these goods/services: ___________________

Please acknowledge receipt of this letter by signing below and returning the acknowledgment to me in the enclosed envelope. I understand that under the law, you must refund my money within _____ days. Furthermore, if applicable, I understand that you must either pick up the items purchased, or reimburse me within _____ days for my expense of mailing the goods back to you. If you do not pick up the goods within that time, I am entitled to keep them.

Date: _________________

Buyer’s signature: __________________________________________________
Print name: __________________

Acknowledgment
Date: _________________
Seller’s signature: _________________________________________________
Print name: __________________