Legal information

Withdrawal form

Annex 2 to Book VI Code of Economic Law

Model of retraction form

Please print, complete and return this form only if you wish to withdraw from the contract. You must copy and paste and print the required information below or send us an email to receive the Word document in return.

To the attention of:

Pom de Pin Belgium - rue de Warnoumont, 50b - B-4140 Sprimont, Belgium - tel 04/382.21.41 -

Pom de Pin France - 3, rue de Carpe - F-59181 Steenwerck, France - tel 03 28 50 70 34 -

  • I/We hereby notify you  my/our* withdrawal from the contract for the sale of the goods below:
  • Ordered */received on *:
  • Name of the consumer(s):
  • Full address of the consumer(s):
  • Signature(s) of the consumer(s) (only in case of notification with this paper form):

(*) Delete as appropriate

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