Withdrawal form for a purchase made on www.ikitex.fr
To be printed, completed and sent by email to florian@ikitex.fr
To the attention of Exopump SAS, 910 route du corbet, 38480 Le Pont de Beauvoisin – FRANCE.
I hereby notify you of my withdrawal from the contract for the sale of the following goods:
Ordered on : ___ /___ /____
Received on : ___ /___ /____
Invoice number (received by email when the order was shipped) : _______________
Customer’s Name : _____________________________________
Customer’s address : _______________________________________________ _____________________________________________________________
Customer’s signature (only in case of notification of this form on paper):
Date : ___ /___ /____