Withdrawal Form

You have to complete and send this form only if you want to execute your withdrawal right. 

Possibility of exclusion of the withdrawal right: in compliance with the article L.121-21-5 of the French consumer code, the customer is informed that the right of withdrawal may not be executed for the contracts supplying a service whose execution has begun before the end of the period of fourteen (14) days.

When receiving this form, we will send to your e-mail address a confirmation. 

You want to execute your withdrawal right:

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For any question regarding the withdrawal process, you can contact us via the contact page

Contact Harry Dolphore

Dolphore – BP11025 - 06131 GRASSE CEDEX, ALPES MARITIMES FRANCE

contact@the-medium-dolphore-follow-up-1.com

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