Statutory Withdrawal Form
Publish below Returns and as an accessible online action
Complete and return only to withdraw from an eligible contract. Any other unambiguous statement is also accepted.
| To | Johnny Fleutry – AllGenJV, 45 rue du Terpat, 27100 Val-de-Reuil, France; contact@allgenjv.com |
| Notice | I/We hereby give notice that I/We withdraw from my/our contract of sale of the following eligible goods/services: |
| Product(s) | ____________________________________________________________ |
| Order number | ____________________________________________________________ |
| Ordered / received on | ____________________________________________________________ |
| Consumer name | ____________________________________________________________ |
| Consumer address | ____________________________________________________________ |
| ____________________________________________________________ | |
| Date | ____________________________________________________________ |
| Signature | Only if submitted on paper: _________________________________ |
Online implementation. Provide a clearly labelled online withdrawal function where current French law requires it and acknowledge receipt promptly on a durable medium. Request only necessary information.
