Standard Withdrawal Form

The Hamon law of June 13, 2014 requires all online merchants to offer a withdrawal form within 14 days following their purchase. Below you will find a typical model in accordance with this law. 

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Model letter for consumer withdrawal in the case of a distance contract:

 

Standard withdrawal form

To the attention of :

Patisland
12 Chaussée Jules Cesar,

95520 OSNY
 

I ... U.S (*) hereby notify you(*) of my/our(*) withdrawal from the contract relating to the sale of the goods(*)/for the provision of service(*) below

______________________________________________________________

______________________________________________________________

_____________________________________________________________

Ordered on* /received on*:

______________________________________________________________

______________________________________________________________

______________________________________________________________

Name of consumer(s) and order number:

______________________________________________________________

______________________________________________________________

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Address of consumer(s):

______________________________________________________________

_____________________________________________________________

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

______________________________________________________________

______________________________________________________________

______________________________________________________________

(*) Delete what is unnecessary

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