WITHDRAWAL FORM

(Please print, complete and return the form to the following address: Row & Ma 6 rue d'Armaillé, 75017 Paris

 

I, the undersigned Mrs / Mr ____________________________________ Residing in:

Street:

City :

Postal code :

Country:

Telephone number (landline or mobile):

E-mail :

Hereby notifies Row & Ma, SAS registered with the RCS of Paris under number 888 831 773 whose registered office is located at :

6 rue d'Armaillé, 75017 Paris - France, of my withdrawal from the contract for the sale of the / of the goods below:

 

Order number :

Date of receipt of the order:

Delivery address (if different from the buyer's address):

 

Date :                       

Signature :