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SUPPLY OF PLUMBING, GAS AND/OR HEATING SERVICES
MODEL CANCELLATION FORM
(Complete and return this form only if you wish to withdraw from the contract)
Agency Supplies Limited t/a PlumbAgent
141 Cot Lane
Company number: 11084252
I/We  hereby give notice that I/We  cancel my/our  contract of sale of the following products /for the supply of the following services ,
Ordered on /received on 
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