Cancellation Form for Consumers

(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 info@neoncreations.co.uk .

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),

Date

[*] Delete as appropriate

© Crown copyright 2013.