Withdrawal form
(to be completed and sent back to us if you wish to use your right of withdrawal)
Form to be sent:
- By post at:
Hôtel Royal Madelaine
29, rue de l'Arcade
75008 Paris
- By mail at:
I/we (*) inform you of my/our (*) withdrawal for the contract of the product (*)/for the provision of services (*) below:
Ordered on ……………………………………….. (*) / Received on ……………………………………….. (*)
Order number: ………………………………………..
Name of consumer(s): ………………………………………..
Address of the consumer(s): ………………………………………..
Signature of the consumer(s) (only if this form is notified on paper):
Date:
(*) Delete as appropriate.