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.
Email*
example@example.com
Shipping Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Please fill in the information below.*
Quantity Unit Price Line Total
Product1
Product2
Product3
Subtotal
Tax (8%)
Total
Payment Method
Please select the payment method.*
CheckCredit CardCash/Amount $
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
Date
Date of Third Business Day After Sale *
MonthDayYear
Date
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
Date
I HEREBY CANCEL THIS TRANSACTION *
Clear
Should be Empty:

Payment Method