Cancellation Form


For the attention of:

FOR - Fire consultancy and/or Fire safety training: FOR - Any other service:
Customer Cancellation
FAO: Fire Consultancy and Fire Safety Training
Chubb Fire & Security Limited
Shadsworth Road
Blackburn
BB1 2PR
Customer Care Centre
Chubb Fire & Security Limited
123 Abbey Lane
Leicester
LE4 5QX
1. I/We hereby give notice that I/We cancel my/our Agreement for the supply of the following services:

Please give a brief description of the service / services





2.Contact number

3.Order dated

Name of Customer (in capitals)

Address of Customer




Signature of Customer

Date

Version 4 – March 2020