Model withdrawal form

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The form

MODEL WITHDRAWAL FORM

(Complete and return this form only if you wish to withdraw from the contract.)

To Édouard Bardou-Jacquet, 59 lieu-dit La Haye, 35520 Melesse, France, [email protected]:

I/We () hereby give notice that I/We () withdraw from my/our () contract of sale of the following goods ()/for the provision of the following service (*):

Ordered on ()/received on ():

Name of consumer(s):

Address of consumer(s):

Signature of consumer(s) (only if this form is notified on paper):

Date:

(*) Delete as appropriate.

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You do not have to use this form

Using the model is optional. Any unambiguous statement of your decision to withdraw is enough — by email to [email protected], or by post.

The simplest route is the online function described in Section 8.2 of the Terms of Service, the "withdraw from your contract here" button: it is available throughout the withdrawal period and automatically sends you a timestamped acknowledgement on a durable medium.

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