Withdrawal Form

Right of Withdrawal Form

(Please complete and return this form only if you wish to withdraw from the contract.)

To: Daothé 115 chemin Haran 64990 Urcuit Email: contact@daothe.com

I hereby notify you of my withdrawal from the contract for the sale of the following goods:

Order reference:

Ordered on:

Received on:

Item(s) concerned:

Consumer name:

Consumer address:

Date:

Signature (only if notified on paper):