Standard Withdrawal Form

Model withdrawal form
Annex to Directive 2011/83/EU of the European Parliament and of the Council of 25 October 2011 on consumer rights, transposed by Articles L221-18 et seq. of the French Consumer Code.
To be completed and returned only if you wish to withdraw from the contract.
To the attention of:
JOHYA
44 rue Rennequin, 75017 Paris
administratif@johya.com

I / We (*) hereby notify you of my / our (*) withdrawal from the contract for the sale of the following good (*):

Product description: ______________________________________________

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

Order number: ______________________________________________

Name(s) of consumer(s): ______________________________________

Address of consumer(s): ___________________________________

________________________________________________________________

Signature(s) of consumer(s) (only if this form is notified on paper):

Date: ______________________________________________________

(*) Delete as appropriate.