Withdrawal form

Letter to be sent by registered mail with acknowledgment of receipt to the seller.

(Please complete and return this form only if you wish to withdraw from the contract.)

To the attention of :

Vendome Circle
10 Place Vendome 
75001 Paris


I hereby notify you of my withdrawal from the contract relating to the sale of the item(s) (*) below :

Order number :

Name of the article(s) (*):

Ordered on:

Received on:

Consumer name:

Consumer's address:

Signature of  consumer:

Date :

(*) Strike out the useless mention.