Cancellation Form

To: FirstPoint International Limited (company number: 10043018), trading as FirstPoint USA, National Squash Centre, Rowsley Street, Manchester, United Kingdom, M11 3FF (“Company”) or send electronically to

I, [                    ] hereby give notice that I, [                            ] cancel my contract with the Company dated [                        ] for the supply of consultancy/representation services.

Name of individual:

Address of individual:

Signature of individual (only if this form is notified on paper):