FR
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Model withdrawal form
Complete and return only if you wish to withdraw from the contract.
You can copy this model into an e-mail, or print this page. Send your request to contact@adinavprotection.fr.
English translation of the French statutory model. Version française.
MODEL WITHDRAWAL FORM
(Complete and return this form only if you wish to withdraw from the contract.) To Adinav Protection — Santosh Gupta, 195 chemin d'Aimargues, 30670 Aigues-Vives, France, contact@adinavprotection.fr: I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*): ........................................................................ Ordered on (*)/received on (*): Name of consumer(s): Address of consumer(s): Signature of consumer(s) (only if this form is notified on paper): Date: (*) Delete as appropriate.
Source : Code de la consommation — Annexe à l’article R221-1. Text consulted on 19 September 2026; trader details filled in.