(Please complete and return this form only if you wish to withdraw from the contract.)
- For the attention of NED SARL 24 rue des Terres Fortes 77600 Chanteloup-en-Brie (France) or by fax: + 33 (0) 1 64 66 77 99 or by email: email@example.com
- I / We (*) notify you / notify (*) hereby my / our (*) withdrawal from the contract for the sale of the property (*) / for the provision of service (*) below
- Ordered on (*) / received on (*)
- Name of consumer (s)
- Address of the consumer (s)
- Signature of the consumer (s) (only if this form is notified on paper)
(*) Delete the unnecessary mention.