Retractation form
TO ROSE PIQUANTE SAS, located on 72, rue de la Folie Méricourt – 75011 PARIS and whose email address is :info@rosepiquante.com
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