Withdrawal form
Information regarding the exercise of the right to
withdrawal
Appendix to article R. 221-3 of the Consumer Code
Right to retract
You have the right to withdraw from this
contract, without giving any reason, within a period of
(14) fourteen days. The withdrawal period
expires (14) fourteen days after the day of
conclusion of the contract
To exercise your right of withdrawal, you must
notify (to the attention of mh Delaroche, 7 rue
véron, 94140 Allfortville)
your decision to withdraw from
this contract by means of a declaration devoid
ambiguity on a durable medium (for example, a
letter sent by post or email).
You can use the form template
withdrawal attached, but this is not obligatory. If you
use this option, we will promptly send you a
acknowledgment of receipt of the withdrawal on a medium
durable (for example, by email).
For the withdrawal period to be respected, it is sufficient that
you send your communication relating to the exercise
of the right of withdrawal before the expiry of the period of
withdrawal
Withdrawal effects
In the event of your withdrawal from this contract,
we will refund all payments received
from you excluding shipping costs – no later than (14)
fourteen days from the day we are
informed of your decision to withdraw from this
CONTRACT. We will reimburse you in
using the same payment method as you
will have used for the initial transaction, unless you
expressly agree to a different means; in all
circumstances, this reimbursement will not cause any
fresh for you.
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BORDEREAU DE RETRACTATION
Complete and sign the withdrawal form.
Send it to M.H. Delaroche: 0 Alfortville
Ship it no later than the fourteenth day from the day you receive your order or, if this deadline expires
normally a Saturday, Sunday or public or non-working holiday, the first following working day.
Order cancellation
I, Ms., Mr.: ....................................... .................................................. ...........................................
declares cancel the following order:
Nature of commodity : ............................................. .................................................. .................................
Order number : ............................................. .................................................. .................................
Date of the order : ............................................. .................................................. .................................
Information about the customer who paid for the order (must match the order slip):
NOM : .............................................................................................................
First name : ................................................ .................................................. .......
Address: No.................................
Rue : ...................................................................................................................
Code postal : ...................................................... Ville : ...........................................................................
Pays : ................................................................................................................................
Made in ................................................ .................................... THE ............. .................................................. .......
Customer's signature: