Integral - Cancellation Form

This form is only to be used if you are a consumer and wish to withdraw from the contract

You are a consumer if:

1. You are an individual
2. You have bought services from us wholly or mainly for your personal use (not for use in connection with your trade, business, craft or profession).

Email *

Order reference (optional)

Order date

Individual first name *

Individual last name *

Address: address line 1 *

Address: address line 2

Address: address line 3

Address: postcode *