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Model withdrawal form

DraftDraft pending review before publication. This text is not legal advice and must be validated by a legal professional before any real sale.

How to use

Complete and return this form only if you wish to withdraw, by email to contact@parallelcities.art or by post to the address below. This site does not collect the form online.

Form

To Yann Gougeon — Parallel Cities, 56 rue Nominoë, 35400 Saint-Malo, France, contact@parallelcities.art:

I hereby give notice that I withdraw from my contract of sale of the following goods:

Artwork reference(s): ____________________

Ordered on: ____________ / Received on: ____________

Name of consumer: ____________________

Address of consumer: ____________________

Signature of consumer (only if this form is notified on paper): ____________

Date: ____________