Withdrawal form

To the attention of: GLOBEX
EIFFEL PARK - BUILDING B1
15 RUE GUSTAVE EIFFEL
95190 GOUSSAINVILLE
Email: shopygomarket@gmail.com

I hereby notify you of my withdrawal from the contract for the sale of the goods listed below:

• Order number:
• Product(s) concerned:
• Order date:
• Date of receipt:
• Customer name:
• Customer address:
• Email used for the order:
• Date:
• Signature (only in case of paper submission):

You may send your request to shopygomarket@gmail.com.