English – Sample Cancellation Form

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Sample Cancellation Form

 

To: Disney Interactive, 500 South Buena Vista Street, Burbank, California 91521 USA, [insert email] OR please insert here the name of the Disney company you purchased from:_______________________________________________________________________

I give notice that I cancel my contract of sale of the following goods or Disney Service:_____________________________________________________________________

Ordered/Received on:_________________________________________________________

My name:___________________________________________________________________

My home address:____________________________________________________________

My email address: ____________________________________________________________

My signature (if submitting this form on paper):____________________________________

Date:______________________________________________________________________