Retraction form

Withdrawal Form

 

For the attention of Ms. Elodie ORTIZ, 124 Boulevard Romain Rolland 13010 Marseille France

E-mail address: elloweencreations@gmail.com

 

 

I/We (*) notify you by the present my/our (*) contract withdrawal dealing about the good's sale showed below:

 

 

Ordered on (*)/received on (*) :

Consumer's name(s) :

Consumer's address:

 

 

 

Consumers' signature (in case of presentation of the presented paper form): 

Date :

 

 

 

 

 

(*) Cross the useless mention.