MODEL WITHDRAWAL DECLARATION — ORYVANT
Complete and send only if you wish to exercise an applicable right of withdrawal.

To: ORYVANT
16 rue de Tourvielle, 69005 Lyon, France
business@oryvantsoftware.tech

I / We (*) hereby give notice that I / We (*) withdraw from my / our (*) contract for the following service:

Service description:
Proposal or contract reference:
Date the contract was concluded:
Name of consumer(s):
Address of consumer(s):
Reply email address (optional):
Date:
Signature of consumer(s), only if sent on paper:

(*) Delete as appropriate.
A clear declaration sent by email can also be used. Keep evidence of sending.