Withdrawal form

Distance Purchase Withdrawal (Online, Mail Order, Teleshopping, or Phone)

Template Letter for Consumer Withdrawal in the Case of a Distance Contract

Please send this letter by registered mail with acknowledgment of receipt to Maison NANA1807.

Consumer's First Name and Last Name
Address
Postal Code - City

Recipient: First Name and Last Name of the Seller
Seller's Address
Postal Code - City

Date: [Date of the letter]

Dear [Recipient’s Name],

On [Date on the order form], I ordered [Description of the item: e.g., the DVD collection, the armchair, etc.], which was delivered to me (or received by me) on [Date].

In accordance with Article L. 221-18 of the Consumer Code, I am exercising my right of withdrawal.

Therefore, I kindly request that you refund me as soon as possible, and no later than 14 days from the receipt of this letter, the amount of [Amount in euros] that I paid for my order, in accordance with the provisions of Article L. 221-24 of the Consumer Code.

Please find enclosed [item being returned] which I am returning to you.

Optionally, you may add:

Failing this, I will be compelled to take legal action against your company.

Yours sincerely,

Signature