- Complete and sign this form or copy it on a separate sheet of paper.
- Send it by registered letter with acknowledgement of receipt
- Use the following address: LES POULETTES SAS, 43 rue Raffet 75016 Paris
- Dispatch it at the latest on the fourteenth (14th) day from the day of delivery of the order or, if this period normally expires on a Saturday, Sunday or a public holiday or non-working day, on the first following working day.
I hereby notify you of my withdrawal from the contract relating to the order below:
Order form dated:
Name of the consumer: