Formulaire de rétractation

Retractation form
TO ROSE PIQUANTE SAS, located on 72, rue de la Folie Méricourt – 75011 PARIS and whose email address is

I hereby notify you of my withdrawal from the contract for the sale(s) of the following article(s) :

Ordered on (*)/received on (*) :

Clients’ name :

Clients’ address :

Clients signature for post mail notification only :

Date :


(*) Delete as appropriate

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