Cancellation form
Please copy this text in the order cancellation form below and add your information:
I, the undersigned, Ms./Mr.____________________________
residing at: - Street: - City: - Zip code: - Country: - Phone number (landline or mobile): - Email address: -
hereby notify VALICOM & DECO / Kumiko Matcha, whose headquarters is located at 38 rue Le Laboureur 95160 Montmorency – France, of my cancellation of the sales contract for the aricles below:
‐ Order number:
‐ Date of order delivery:
‐ Delivery address (if different from billing address):
The (date)
at (location)
Signature