RETRACTION FORM
Please complete and return this form only if you wish to withdraw from the contract..
I, the undersigned,
– Customer’s full name: …………………………………………………………………………………………………………………
hereby declare that I exercise my right of withdrawal for the following order:
– Order number: ……………………………………………………………………………………………………………………………
– Date of order / date of receipt of order : ……………………………………………………………
Customer address: ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..
Done on: ………………………………………….. To: ………………………………………………
Customer signature:
Return this form to: Return the goods to:
MAROT DE LA GARAYE MAROT DE LA GARAYE
2 Rue Ambroisine Garnier Leray 2 Rue Ambroisine Garnier Leray
ZI SUD EST ZI SUD EST
35 000 Rennes 35 000 Rennes
