Model Cancellation Form

You only need this form if you wish to cancel your order under the Consumer Contracts (Information, Cancellation and Additional Charges) Regulations 2013. You can also simply email us in your own words. Our voluntary 30 day returns promise and free exchange service do not require this form.

Model cancellation form

To: Mumora Media LLC, trading as Modesty Mode
Mumora Media LLC, 30 N Gould St, Ste N, Sheridan, WY 82801, United States
Email: info@modestymode.com

I/We [*] hereby give notice that I/We [*] cancel my/our [*] contract of sale of the following goods [*] / for the supply of the following service [*]:

Ordered on [*] / received on [*]:

Order number:

Name of consumer(s):

Address of consumer(s):

Signature of consumer(s) (only if this form is notified on paper):

Date:

[*] Delete as appropriate.

Copy the text above into an email to info@modestymode.com, fill in the details and send it. We confirm receipt by email without delay.