Withdrawal Form

MODEL WITHDRAWAL FORM

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

To the attention of Footpatrol SAS SPODIS, WOOD PARK, 274 Bis Avenue de la Marne, 59700 MARCQ-EN-BAROEUL, serviceclient@Footpatrol.fr: 

I/We (*) hereby notify you of my/our (*) withdrawal from the contract for the sale of the goods (*)/for the provision of services (*) below: 

Ordered on (*)/received on (*): 

Name of consumer(s): Address of consumer(s): Signature of consumer(s) (only if this form is submitted on paper): 

Date : (*) 

Delete as appropriate.