Withdrawal form

(If you wish to withdraw from the contract, thanks to complete and send below form.)


To the attention of Select'Heure, 6 Place du 8 Octobre, 02100 Saint-Quentin, France

Phone number : + 33 7 88 73 94 98

Email : contact@esprit-nato.com


I hereby give notice that I withdraw from the contract of sale of the following good : …………

Ordered on ………… / received on …………

Withdrawal reason : …………

Customer name : …………

Customer address : …………

 

Date : …………

Customer signature (only in case of paper form) : …………