Standard Withdrawal Form

Standard Withdrawal Form
Annex to Directive 2011/83/EU of the European Parliament and of the Council of October 25, 2011, on consumer rights, transposed by Articles L221-18 et seq. of the Consumer Code.
To be completed and returned only when exercising the right of withdrawal.
Attention:
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 item (*) listed below:

Product Description: ______________________________________________

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

Order Number: ______________________________________________

Name of consumer(s): ______________________________________

Address of the consumer(s): ___________________________________

________________________________________________________________

Signature of the consumer(s) (only if this form is submitted in paper form):

Date: ______________________________________________________

(*) Delete as appropriate.