Withdrawal form

Please complete and return this form only if you wish to withdraw from your purchase.

Attention Aude Herouard in the head office is located at 3 route du sucre 76450 SASSEVILLE.

I/we (*) hereby notify you (*) of my/our (*) withdrawal from the contract for the sale of the goods (*)/for the provision of services (*) below:

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

Name of consumer(s):

Address of consumer(s):

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

Date :

(*) Delete as appropriate.

This document should be returned to the following address with the item(s) concerned.
Aude Herouard - 5 rue Santeuil 44 000 NANTES