Notice of Cancellation Form

Notice of Cancellation Form
Seller Name
First NameLast Name
Buyer Name
First NameLast Name
City/State
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Shipping Address
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Please fill in the information below.
Rows Quantity Unit Price Line Total
Product1
Product2
Product3
Subtotal
Tax (8%)
Total
Payment Method
Please select the payment method.
You have THREE BUSINESS DAYS from the above date to cancel your purchase if it was made in your home, a conference center, a craft fair, or other facilities rented by the seller on a temporary or short-term basis.
Date of Sale
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Date of Third Business Day After Sale
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
To cancel your order, sign and date this form saying that you want to cancel it. Along with the product purchased, mail it to or hand-deliver it to the dTERRA Wellness Advocate's address mentioned above. Please allow 10 days for your cancellation to be processed.
Date Signed
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I HEREBY CANCEL THIS TRANSACTION
Clear
Should be Empty:

Payment Method