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Withdrawal Form – ETHNIK HORIZONS
Full name
*
Prénom
Nom de famille
Email
*
exemple@exemple.com
Order number
*
Date the product was received
*
-
Mois
-
Jour
Année
2 digit month, 2 digit day, 4 digit year
Date
Product(s) concerned by the withdrawal
*
Withdrawal declaration
*
I hereby notify you of my decision to withdraw from the order indicated above.
Email acknowledgement of receipt
*
I agree to receive by email an acknowledgement of receipt of my withdrawal request and a copy of my declaration.
Confirm my withdrawal
Should be Empty: