Withdrawal from a distance purchase

---

Model to be adapted :

Attention:
#Terressens
7, avenue du Mas Rouge
34670 Baillargues
E-mail address: studio@terressens.com

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



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

Name of consumer(s) :

Address of consumer(s) :

Signature of consumer(s) (only in case of notification of this form on paper) :


Date :

(*) Delete as appropriate.

To find out more, visit the Service Public website : www.service-public.fr