Order Cancellation Form
Fill out this form in order to cancel your contract of sale for the following goods/services:
Pangaea Laboratories Ltd. (Nanogen.com)
730 Centennial Park
020 8712 6020
I would like to cancel an order
After submitting this form, you will be issued a Returns Number and details of how to return the goods for a refund.
My full name is
My full address is
My email or phone number
We may need to contact you to process this cancellation, please enter either your email address or phone number
I wish to cancel the following order number
Type the order number you wish to cancel below
Date of the above order number
To sign this form, please type your name with forward slash before and after.
eg. /John Smith/ or /Jane Mary-Doe/ or /Mrs K.A. Patel/
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This form was created inside of Pangaea.