STANDARD WITHDRAWAL FORM

STANDARD WITHDRAWAL FORM

Please complete and return this form only if you wish to withdraw from your order.

Attn:
House Molinet
8 rue de la République
84230 Châteauneuf-du-Pape – France
Email: maisonmolinet@outlook.fr

I hereby notify you of my withdrawal from the contract relating to the sale of the goods below:

Order number:

Product(s) concerned:

Ordered on:

Received on:

First and last name of the consumer:

Address of the consumer:

Date:

Signature of the consumer:
Only if the form is sent on paper.

This form can be sent by post to the address indicated above or by e-mail to maisonmolinet@outlook.fr.