If you wish to withdraw from the contract, please use the wording in this form and return it: 

• To JD Sports Fashion Plc (trading as Footpatrol)– Customer Care, Kingsway Distribution Centre, Michael Faraday Avenue, Rochdale, OL16 4FW or info@footpatrol.co.uk : 

• I hereby withdraw from the contract concluded by me, for the purchase of the following goods: 

• Order Number(*) 

• Ordered on (*)/received on (*): 

• Name of the consumer: 

• Address of the consumer: 

 _____________________________________________ 

Signature of the consumer (if notifying in writing) 

Date _________________________ 

(*) Complete as appropriate.