Retraction form
To the attention of Joue le Jeu Vaison, 40 B Avenue Victor Hugo, 84110 Vaison-la-Romaine , 06-75-68-27-76 and jouelejeuvaison@hotmail.com :
I/we (*) notify you (*) by my/our present (*) contract retractation on the product (*) below :
Ordered on (*)/Received on (*) :
Consumer(s)' name(s):
Consumer(s)'s adress:
Consumer(s)'s signature (only for the notification on the present paper) :
Date :
(*) Cross out the unnecessaries mentions.
