WITHDRAWAL FORM

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(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:

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Street:

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City :

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Postal code :

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Country:

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Telephone number (landline or mobile):

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E-mail :

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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 :

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Date of receipt of the order:

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

 

Date :                       

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Signature :