(Complete and return this form only if you wish to withdraw from the contract)
To: Neon Creations Ltd, Unit H6 , Swan Business Centre, 4 Higher Swan Lane, Bolton, BL3 3AQ. Telephone number: 01204 655866 ; or by writing to us at email@example.com .
I/We [*] hereby give notice that I/We [*] cancel my/our [*] contract of sale of the following products [*]/for the supply of the following service [*],
Ordered on [*]/received on [*],
Name of consumer(s),
Address of consumer(s),
Signature of consumer(s) (only if this form is notified on paper),
[*] Delete as appropriate
© Crown copyright 2013.