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

For the attention of Maison Divine, located at 1 Square Paul Verlaine, 27000 Evreux, contact@croix-precieuse.com

I/we (*)

notify you (*)

hereby 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 the consumer(s):

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

Date :

(*) Delete as appropriate.

The subject of your email must respect the following syntax to be considered by our team.

- Subject: “Cancellation of order #(your order number)”

In accordance with Article 2 of Decree No. 2022-424 of March 25, 2022.