Notice of Cancellation of a Direct Sales Contract
for Reason(s) other than the 10 Day Right of Cancellation
* When completing this form, please print clearly. Be sure to retain a copy of the completed form and proof of delivery
to the business.
A.) Consumer Information
________________________________________________________________________________
Full Name
Phone Number (with area code)
________________________________________________________________________________
Address
City
Postal Code
B.) Business Information
______________________________________________________________________________________________
Business Name
Phone Number (with area code)
______________________________________________________________________________________________
Street Address
City
Postal Code
C.) Notice of Cancellation
Section 21(2) of the Business Practices and Consumer Protection Act states:
21(2) A consumer may cancel a direct sales contract by giving notice of cancellation to the supplier not later than one year after the date that the
consumer receives a copy of the contract if one or more of the following applies:
(a) the contract does not meet the requirements of sections 19 and 20(1) [required contents of contracts];
(b) at the time the contract was made, the supplier was under a direct sales prohibition order;
(c) the goods or services to be supplied under the contract are not supplied to the consumer within 30 days of the supply date.
Please consider this notice of cancellation of the contract between _______________________________________________ and
(consumer name)
________________________________________. A copy of the contract was provided to me on __________________________.
(name of business as on contract)
(date)
My reason(s) for cancellation are as follows (check all that apply):
The contract does not have the required contents as required by law.
At the time the contract was made, the supplier was under a direct sales prohibition order.
The goods or services were not supplied within 30 days of the supply date.
D.) Refund Process
Sections 21(4) and 27 of the Business Practices and Consumer Protection Act state:
21(4) …if a consumer cancels a direct sales contract under this section, the supplier, within 15 days after the notice of cancellation has been given,
must return to the consumer, any trade-in received under a trade-in arrangement, or an amount equal to the trade-in allowance.
27 …if a contract is cancelled under this Division, the supplier must refund to the consumer,
(a) within 15 days after the notice of cancellation has been given, and
(b) without deduction except as provided for in this Division or in the regulations,
all money received in respect of the contract, whether received from the consumer or any other person.
As per above, I demand a refund (and the return of any trade-in) to be provided to me within 15 days of
_____________________________________.
(date of cancellation)
Signature_________________________Name_________________________Date_____________________________