Cancellation Form

Cancellation Form

Under the Consumer Contracts (Information, Cancellation and Additional Charges) Regulations 2013 you have the right to cancel your order within 14 days of receiving it, without giving a reason.

You do not have to use this form — an email to support@lilysam.com saying clearly that you wish to cancel is enough. This form is provided because the regulations require us to make one available.

How to use it

Complete the details below and email them to support@lilysam.com, or post them to the address shown.


Notice of cancellation

To: [[ EDIT: legal entity name ]], [[ EDIT: registered address ]], email support@lilysam.com

I/we hereby give notice that I/we cancel my/our contract of sale for the following goods:

Order number: ______________________________

Item(s) being cancelled: ______________________________

Ordered on: ______________________________

Received on: ______________________________

Name of consumer(s): ______________________________

Address of consumer(s): ______________________________

Signature of consumer(s): ______________________________
(only required if this form is sent on paper)

Date: ______________________________


What happens next

Once we receive your cancellation notice we will confirm it by email and send you return instructions. Return the goods to us within 14 days of telling us you are cancelling. We will refund you within 14 days of receiving the goods back, or of receiving proof that you have sent them, whichever is earlier.

Full details of return costs and refund handling are set out in our Returns Policy.

Withdrawal form

Your details

Please enter your email and order number. The merchant uses this data for manual matching.

Our Privacy Policy applies.