WITHDRAWAL FORM


Please complete and return this form only if you wish to withdraw from your order placed on the thesdelapagode.com site - except for exclusions or limitations on the exercise of the right of withdrawal under the applicable General Conditions of Sale.


(STANDARD WITHDRAWAL FORM in accordance with Decree No. 214-1061 of September 17, 2014)


TO BE COMPLETED AND SEND TO US IF YOU WANT TO USE YOUR RIGHT OF WITHDRAWAL


A choice :


  • by post to the following address: 4 avenue Bertie Albrecht - 75008 PARIS - France


For the attention of: Customer service Thés de la Pagode 4 avenue Bertie Albrecht - 75008 PARIS - France


I / we (*) hereby notify / notify you of my / our (*) withdrawal from the contract for the sale of the good (*) / for the provision of service (*) below:


Ordered on : -------


Received on: : -------


Order number (optional): : -------


Name of consumer (s): -------


Address of the consumer (s) : -------


Signature of the consumer (s) only in the event of notification of this form on paper: -------


Date : -------


(*) Delete the unnecessary mention