Withdrawal Form

Complete and return this form only if you wish to withdraw from your order (appendix to Article R.221-1 of the French Consumer Code).

To the attention of:
[TO BE COMPLETED: company name]
[TO BE COMPLETED: postal address]
[TO BE COMPLETED: email]

I hereby notify you of my withdrawal from the contract for the sale of the following goods:

• Ordered on / received on: ______________________
• Order number: ______________________
• Product(s) concerned: ______________________
• Name(s) of consumer(s): ______________________
• Address(es) of consumer(s): ______________________
• Date: ______________________
• Signature (only if notified on paper): ______________________

You can also notify us of your decision by email to [TO BE COMPLETED: email]. See the Shipping and Returns page.