Complete and return this form only if you wish to withdraw from the contract.
To:Musée d'Impression sur Etoffes
14, rue Jean-Jacques Henner
68100 MULHOUSE
France
Email: accueil@musee-impression.com
Phone: +33 (0)3 89 46 83 00
I/We hereby give notice that I/we withdraw from my/our contract of sale of the following goods / for the supply of the following service:
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Ordered on / received on:
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Name of consumer(s):
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Address of consumer(s):
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Signature of consumer(s) (only if this form is notified on paper):
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Date:
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Source: Annex I, Part B of Directive 2011/83/EU of the European Parliament and of the Council on consumer rights.