First name and last name of the consumer

Its address

City Postal Code

Recipient: First name and last name of the selling professional

Recipient Address (Seller)

City Postal Code

At ..., on ... (date of letter)

Madam, Sir,

On ... (enter the date on the purchase order), I ordered ... (item designation: e.g. DVD collection, chair...) that you delivered (or received) to me on ... (date).

In accordance with Article L. 221-18 of the Consumer Code, I exercise my right of withdrawal.

Accordingly, I kindly request you to return to me as soon as possible and at the latest within 14 days of receipt of this letter, the sum of ... euros that I paid you when I placed my order, in accordance with the provisions of Article L. 221-24 of the Consumer Code.

Please find enclosed (specify returned item) that I return.

Optionally, you can add:

Otherwise, I would be obliged to bring criminal proceedings against your business.

Please accept, Madam, Sir, the expression of my distinguished sentiments.

Signature