Withdrawal form

WITHDRAWAL FORM

This withdrawal form must be returned by post to the following address or by e-mail (julie@maisonsaintjulien.com), dully filled in, should you wish to apply your right to cancel the contract:

Customer Department

MAISON SAINT JULIEN SARL

33 avenues des Tisserands

40 150 Soorts Hossegor

FRANCE

The form must be returned no later than 14 days after receipt of your order.

For the attention of MAISON SAINT JULIEN SARL, based at the following address:

33 avenue des Tisserands

40150 Soorts Hossegor

FRANCE

+33 (0)7 80 05 85 23

I, the undersigned Mr/Ms ………………………….., residing at the following address:

Number and street name:

Postcode:

Town/City:

Country:

I hereby notify you of my withdrawal from the contract regarding the order ……………….. (Please indicate here your order number), validated on …./…/…..

Date: …./.…/……

Signature: