D2C Service Terms and conditions

Schedule 1 - Model Cancellation Form

To be completed if you wish to withdraw from or cancel the Contract

 

To: Informed Genomics Limited trading as Nonacus Clinical Services

Unit 5 Quinton Business Park 11 Ridgeway, Quinton, Birmingham, England, B32 1AF

info.genetictesting@nonacus.com

I/We hereby give notice that I/We cancel my/our Order dated [XXXXXX] Reference number [XXXXXX].

Name of consumer(s),

Address of consumer(s),

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

Dated: