Please complete and return this form only if you wish to withdraw from your order placed on our website

Attention: Digital Assets Management 16 cours du Général de Gaulle, 33170 Gradignan

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

Ordered on ............................................

Order number: ................................................................................

Customer name: ..........................................................................

Customer address: ..........................................................................

Signature of the client (only if this form is notified on paper) :

Date: ..........................................................................