New South Wales Consolidated Acts(Sections 34, 35)
To *
I hereby cancel the contract entered into by me on theday of19to acquire †in the company and require you to repay to me all money paid by me under the contract.
Dated thisday of19.
Signed
Address
NOTE: This notice may be given by posting it in a prepaid letter or by delivering it personally to the loan fund company concerned at the address shown in the contract before the end of the period of 1 month beginning with the day after the day on which you signed the contract. If you post this notice you are recommended to send it by certified mail so that you obtain proof of the giving of the notice.
* Insert name and address of the loan fund company concerned.
† Insert concise particulars of the shares or option to acquire shares to which the contract relates.