UK/EU Cancellation Form

To: Take-Two Interactive Software, Inc., Legal Department, 110 W 44th Street, New York, NY 10036, USA.

I hereby give notice that I wish to cancel my contract of sale for the following order:

Description of Items

Game

Order Number

Ordered On

Date of Receipt

Name of customer

Address of customer

Signature of customer (only required if form printed on paper)

Date

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