Please complete and return this form only if you wish to withdraw from the contract. To: www.lincon.co.uk Faraday Works Faraday Road Leigh-on-Sea Essex SS9 5JU Telephone number: * Email address: * IWe hereby give notice that IWe cancel MyOur contract of sale of the following goodsfor the supply of the following service, Ordered onReceived on Name of consumer(s): * Address of consumer(s): * Full name: * Date: *
