Comme Deux

Standard cancellation form

(This form is completed and returned only if the right of withdrawal is exercised) use the form below:

I hereby announce that I wish to exercise the right of withdrawal in connection with my purchase agreement for the following goods/services:

Ordered on:

Received on:

Consumer's name:

Consumer's address:

Signature of the consumer:

Date:

(only if the content of the form is communicated on paper).