Withdrawal form
To be printed and included in the return package.
— For the attention of
PIANORI (FMV sprl)Station Street 106
1640 Rhode-Saint-Genèse
— I/We (*) hereby notify you (*) of my/our (*) withdrawal from the contract for the sale of the item
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— Ordered on (*)/received on (*)
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— Name of consumer(s)
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— Address of the consumer(s)
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— Reason(s) for withdrawal
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- Date
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— Signature of the consumer(s)
(only if this form is notified on paper)
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