(Complete and return this form only if you wish to withdraw from the contract)
To: Marchon UK Ltd, trading as Dragon Alliance (“Dragon”). (Registered office: 3 Onslow Street, 6th Floor, Guildford, Surrey GU1 4SY, United Kingdom). Customer Service number: 01722 786161, Customer Service email: firstname.lastname@example.org, Postal address: Dragon, Unit 1, The Centurion Centre, Castlegate Business Park, Old Sarum, SALISBURY, Wiltshire, SP4 6QX.
I hereby give notice that I cancel my contract of sale of the following goods,
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.