Terms and Conditions of Sale

Distribution of motorbike spare parts and accessories

Last updated: 10 August 2026

Preamble

Company details:

Company name: L’Atelier Bleu Motostore
Legal form: Simplified Joint-Stock Company with a Sole Shareholder (SASU)
Share capital: €1,000
Registered office: 13 rue de la Bénaudière, 69380 LOZANNE
Trade and Companies Register (RCS): 105 159 669 R.C.S. Villefranche-Tarare — registered on 21/05/2026

Article 1. Definitions

The following terms, when capitalised in these Terms and Conditions, whether in the singular or plural, shall have the meanings set out below:

Catalogue means all the Products listed and offered for sale on the Website.

‘Customer’ means any person, whether a natural or legal person, who has created an Account and/or is placing or wishes to place an Order on the Website, whether acting as a Consumer Customer or a Business Customer.

‘Consumer Customer’ means any Customer who is a natural person acting for purposes outside the scope of their commercial, industrial, craft, professional or agricultural activity, within the meaning of the introductory article of the Consumer Code.

‘Business Customer’ means any Customer, whether a natural or legal person, acting for purposes falling within the scope of their commercial, industrial, craft, professional or agricultural activity, including where they act in the name of or on behalf of another business.

GTC refers to these General Terms and Conditions of Sale, which are available at any time on the Website.

Order means any request to purchase one or more Products, placed by a Customer on the Website.

Account means the personal account created by the Customer on the Website, enabling them to place Orders and track their fulfilment.

Content refers to all information, images, photographs, technical descriptions, product specifications and compatibility details made available on the Website.

Contract means the contractual agreement comprising the T&Cs, the Order Confirmation and, where applicable, any special terms agreed between the parties.

Login details refer to the email address and password enabling the Customer to access their Account.

Product means any spare part or accessory for motorcycles offered for sale on the Website.

Website means the website [domain name to be specified], operated by [company name], through which the Products are sold exclusively.

Seller: means the company L’Atelier Bleu Motostore, a Simplified Joint-Stock Company with a Sole Shareholder (SASU) with a share capital of 1,000 euros, registered with the Villefranche-Tarare Trade and Companies Register under number 105 159 669, which operates the Website.

Third-party supplier or manufacturer: means the natural or legal person who manufactures the Product sold on the Website, distinct from the Seller

Article 2. Scope and acceptance of the T&Cs

2.1 Scope

These T&Cs apply, without restriction or reservation, to all Orders for Products placed by any Customer on the Website, whether the Customer is a Consumer or a Business Customer.

The sale of Products takes place exclusively online, via the Website. The Seller has no physical shop or point of sale, and no Order may be collected other than by delivery in accordance with the terms set out in Article 8 hereof.

The Website is accessible to Customers located in France and internationally. The permitted delivery destinations are those offered by the Website at the time of placing the Order: the list of available destination countries is displayed to the Customer when selecting the delivery address, prior to the final confirmation of their Order. Any Order to a country not offered by the Website cannot be accepted

2.2 Acceptance of the T&Cs

The Customer acknowledges that they have read these T&Cs and accepted them by ticking the box provided for this purpose before finalising any Order. This acceptance is full and complete; any acceptance subject to conditions is deemed null and void.

The applicable T&Cs are those in force on the date of the Order, which are accessible at any time on the Website. They take precedence over any other document unless the Seller has given its express written consent.

2.3 Provisions specific to Business Customers

The Business Customer may have its own general terms and conditions of purchase. However, these terms and conditions do not apply to the commercial relationship with the Seller, unless the Seller has expressly accepted them in writing. In the absence of such written agreement, only these GTC shall apply, including in the event of any conflict with the Business Customer’s general terms and conditions of purchase.

2.4 Amendments to the GTC

The Seller reserves the right to amend these General Terms and Conditions at any time, in particular to bring them into line with changes in legislation and regulations or with developments in its business. The amended General Terms and Conditions shall apply only to Orders placed after they come into force.

Article 3. Pre-contractual information

Prior to placing any Order, the Consumer Customer acknowledges having received, in a legible and comprehensible manner, all of the following information, in accordance with Article L. 221-5 of the Consumer Code:

The essential characteristics of the Product ordered, as described on its product page
The price of the Product, inclusive of all taxes, together with details of the applicable delivery and postage charges
The date or timeframe by which the Seller undertakes to deliver the Order, as indicated on the product description page or during the ordering process, or, in the absence of any specific indication, in accordance with the terms set out in Article 8 hereof
The Seller’s identity, postal address, email address and, where applicable, telephone number
The terms and conditions governing payment, delivery and fulfilment of the Order, as well as the procedures for handling complaints
The existence and conditions for exercising the statutory guarantee of conformity and the guarantee against hidden defects, as set out in Article 11 of these Terms and Conditions
The option to refer the matter to a consumer mediator, in accordance with the conditions set out in Article 18 of these terms and conditions
The conditions, time limit and procedures for exercising the right of withdrawal, as well as the standard form set out in Annex 1
The fact that the cost of returning the goods shall be borne by the Consumer Customer in the event of withdrawal, unless otherwise provided for herein
The circumstances in which the right of withdrawal cannot be exercised or may be forfeited

This information is deemed to have been acknowledged once the Customer has ticked the box to accept the Terms and Conditions prior to confirming their Order.

Article 4. Products and compatibility with the vehicle

The Products covered by these T&Cs are those listed in the Website’s Catalogue and which are indicated as being sold and dispatched by the Seller.

The photographs and illustrations accompanying the Products on the Website are not contractually binding. The Customer is advised to refer to the product details page and its description to find out the Product’s specifications.

The Products offered for sale comply with the applicable legislation in force on the date of the Order.

It is the Customer’s responsibility to check, prior to placing any Order, that the selected Product is compatible with the make, model, year and European version/standard of their vehicle. The Seller provides known compatibility references on each product page for guidance only; this information does not exempt the Customer from carrying out this check. In case of doubt, the Customer is advised to contact customer services before confirming their Order.

The Seller acts as an independent distributor of parts and accessories.

Article 5. Order

The Customer places orders exclusively via the Website. No Order may be placed by telephone, by email or by any means other than the online ordering process provided for this purpose.

To place an Order, the Customer must provide the requested information or create an Account using their login details.

The Order is placed in the following stages: selecting Products and adding them to the basket, checking and confirming the contents of the basket, choosing the delivery address and method, accepting these Terms and Conditions, selecting the payment method, and then finally confirming the Order. At each stage, and before final confirmation, the Customer may go back to correct or amend their Order.

The Order is only considered final once payment has been confirmed and a confirmation email has been sent to the Customer. Placing an Order constitutes acceptance of the prices and descriptions of the Products available for sale.

The Seller reserves the right to suspend or refuse any Order placed by a Customer with whom there is a previous dispute, in the event of non-payment, suspected fraud, or in the case of an Order for an abnormally high quantity compared with normal usage.

Article 6. Prices

Product prices are quoted in euros. For Consumer Customers, prices are inclusive of all taxes, excluding delivery charges, which are shown separately before the Order is finally confirmed. For Business Customers, prices are shown exclusive of tax in the product description in accordance with the terms agreed with the Seller.

The Seller reserves the right to amend its prices at any time. The price applicable to the Order is that in force on the day it is confirmed by the Customer; any subsequent change to the price shall have no effect on Orders that have already been confirmed.

For deliveries within the European Union, the price includes the applicable VAT rate in France of 20 per cent, in accordance with the rules in force for intra-Community distance selling. For deliveries outside the European Union, the price may be quoted exclusive of French VAT; any customs duties, import taxes and local formalities shall be borne by the recipient Customer, unless otherwise specified.

Article 7. Payment Terms

7.1 Cash Payment

The price of the Order is payable in full on the day the Order is confirmed. The Seller offers the Customer the following payment methods:

Payment by credit card (CB, Visa, Mastercard, Google Pay)
Payment via PayPal
Payment by bank transfer

7.1.1 Payment by credit card

The Customer enters their credit card details on the secure payment interface provided by the Seller’s payment service provider. The payment is considered valid once the card issuer has confirmed authorisation. Should the card issuer decline the payment, the Order is automatically cancelled and the Seller is released from any obligation to the Customer in this regard.

7.1.2 Payment via PayPal

Customers paying for their Order via PayPal are redirected to their PayPal account to confirm the payment, and then returned to the Website to finalise their Order. The Customer acknowledges that they have read the terms and conditions of use for the PayPal service, available on the PayPal website.

7.1.3 Payment by bank transfer

For Orders paid by bank transfer, the Order will only be processed upon actual receipt of the transfer into the Seller’s bank account, quoting the Order number. If the transfer is not received within 7 days, the Order will be automatically cancelled. The Customer is informed that this payment method extends the processing time for their Order.

7.2 Non-payment

In the event of payment being refused by the issuing bank or payment service provider, or in the event of a payment dispute, the Order shall be automatically suspended or cancelled, and the Seller shall be released from any obligation to the Customer in this regard.

Article 8. Delivery

8.1 Delivery times and areas

The Products ordered are delivered to the address provided by the Customer when placing their Order. The Customer is required to check that this address is correct; any Order returned to the Seller due to an incorrect or incomplete address will be re-dispatched at the Customer’s expense.

Delivery times are given for guidance only on the product page or upon confirmation of the Order, and vary depending on the destination. In accordance with Article L. 216-1 of the French Consumer Code, unless a specific delivery time has been specified to the Customer, delivery shall take place no later than 30 days after the Order has been confirmed. For deliveries outside France, particularly international deliveries, a specific longer delivery time may be indicated to the Customer before the Order is confirmed; this timeframe will then take precedence over the 30-day period mentioned above

8.2 Delivery methods

The Customer chooses, from the options offered when confirming their Order, between home delivery and delivery to a collection point, depending on the methods available for the destination country. As the Website does not operate any physical shops or points of sale, in-store collection is not possible.

8.3 International deliveries

For deliveries outside the European Union, customs duties, import taxes and any local formalities are the responsibility of the Customer, unless otherwise specified prior to confirming the Order. The Seller shall not be held liable for any additional delays or costs associated with customs clearance, nor for any import refusals issued by local authorities.

8.4 Inspection on Receipt

The Customer must check the condition of the delivered Products upon receipt. In the event of any apparent anomaly (damaged, opened or incomplete parcel), the Customer must lodge a complaint with the carrier and inform the Seller within 2 working days of delivery, using the contact form provided for this purpose (Appendix 1). Failing this, the Products shall be deemed to have been delivered in good condition and in accordance with the order.

8.5 Transfer of ownership and risk

The Products remain the property of the Seller until the Customer has paid the full price.

For Consumer Customers, the risk of loss or damage passes to the Customer at the moment when the Customer, or a third party designated by the Customer other than the carrier, takes physical possession of the Product. In the case of home delivery, this transfer therefore takes place upon handover of the parcel to the Customer. In the case of delivery to a collection point, this transfer only takes place when the Customer actually collects the parcel from the collection point, and not when it is deposited there by the carrier.

In all cases, the carrier remains liable for any loss, damage or delay occurring whilst it has custody of the Product, without prejudice to any claims that the party bearing the risk may have against it.

For Business Customers, the risk of loss or damage passes upon handover of the Product to the carrier, unless otherwise agreed between the parties.

8.6 Uncollected parcels

The Customer has a period specified by the carrier (which was selected at the time of the Order) to collect their parcel from the designated collection point. Once this period has elapsed, the parcel is returned to the Seller, who will contact the Customer to arrange for it to be re-dispatched at the Customer’s expense. If it is not possible to contact the Customer within a period of 3 months, the Order will be refunded to the Customer, less any applicable delivery charges.

In the event of a customs hold or refusal of import by the authorities of the destination country, the parcel will be returned to the Seller and handled in the same way.

Article 9. Right of withdrawal

9.1 Consumer Customers

In accordance with Article L. 221-18 of the Consumer Code, the Consumer Customer has a period of 14 calendar days from the day following delivery of their Order to exercise their right of withdrawal, without having to provide a reason or pay a penalty, except for the return costs, which remain at their expense.

In the case of an Order comprising several Products delivered separately, this period begins on the day following delivery of the last Product.

To exercise this right, the Consumer Customer must notify the Seller of their decision to withdraw before the expiry of this period, using the standard form set out in Appendix 1 hereto, sent to the following email address or by post in accordance with the procedure below:

- Submit the withdrawal request via the Website’s contact form by selecting ‘Customer Service’. - A reply will be provided within 48 hours, stating the postal address to which the delivered Product(s) subject to withdrawal should be returned.

The information provided must be complete, legible and unambiguous.

The Consumer Customer must then return the Products to the Seller within 14 days of notifying their decision to withdraw. The Products must be returned in their original packaging, complete with all accessories and instructions, and in a condition suitable for resale.

The Seller shall refund the Consumer Customer the full amount paid (excluding the initial delivery charges and any other customs duties), no later than 14 days after receipt of the returned Products or proof of their dispatch.

The Consumer Customer must examine the returned Product in the same way as they would have done before purchase, to check its nature, characteristics and proper functioning. If the handling of the Product goes beyond this examination – in particular, where it has been fitted to a vehicle or used – the Seller may deduct from the refund an amount corresponding to the depreciation of the Product resulting from such handling.

The refund shall be made via the same payment method used when placing the Order, unless the Consumer Customer expressly agrees to another method of refund, in particular a credit note in accordance with the conditions set out in Article 10 hereof.

In accordance with Article L. 242-4 of the Consumer Code, any delay in reimbursement beyond this 14-day period shall automatically give rise to a progressive increase in the sums due, calculated in accordance with the statutory scale in force.

9.2 Exceptions

In accordance with Article L. 221-28 of the Consumer Code, the right of withdrawal does not apply to Products made to the Customer’s specifications or significantly personalised, nor to Products unsealed by the Customer after delivery where they cannot be returned for reasons of hygiene or health protection.

9.3 Business Customers

The right of withdrawal provided for in this article is reserved for Consumer Customers. It does not apply to Business Customers, who are not entitled to any statutory withdrawal period in respect of their Order, unless otherwise expressly agreed with the Seller in a commercial agreement.

Article 10. Credit Notes

10.1 Definition and Issuance

A credit note refers to an amount credited to the Customer, which may be used for a future order on the Website. It may be issued by the Seller in the following two cases:

at the express request of the Consumer Customer, in lieu of a refund, in connection with the exercise of their right of withdrawal as provided for in Article 9 hereof
in connection with a Product return accepted by the Seller outside the scope of the statutory right of withdrawal, in particular as a gesture of goodwill

10.2 Terms of Use

The credit note is valid for 12 months from the date of issue. After this period, it can no longer be used and will not give rise to any compensation.

The credit note may be used, in whole or in part, to pay for one or more future Orders on the Website, up to the amount available. Multiple credit notes may be combined to pay for the same Order. If the Order amount exceeds the value of the credit note used, the Customer must make up the balance using another payment method accepted by the Seller.

The credit note is neither refundable in cash nor rechargeable, and cannot be exchanged for any monetary consideration.

10.3 Specific case of statutory withdrawal

In accordance with Article 9 hereof, where the Consumer Customer exercises their statutory right of withdrawal, the refund shall, in principle, be made via the same payment method used when placing the Order. The issue of a credit note in lieu of such a refund requires the Consumer Customer’s express consent; it may not be imposed on them by the Seller.

Article 11. Guarantees

11.1 Nature of the applicable warranties

The Products sold on the Website are spare parts and accessories supplied by third-party manufacturers. The Seller acts as a reseller and is not the manufacturer of the Products it distributes, within the meaning of Law No. 98-389 of 19 May 1998 on liability for defective products.

Consequently, the Seller does not offer any commercial warranty of its own, whether additional or supplementary to those already provided by the manufacturers of the Products sold. Any applicable manufacturer’s warranties are those set out in the relevant product information sheet or in the documentation supplied with the Product, and are subject to the terms, duration and conditions specific to each manufacturer.

11.2 Statutory warranties

Irrespective of any manufacturer’s warranty, the Customer is in all cases entitled to the following statutory warranties, which apply automatically and cannot be excluded by these GTC:

for Consumer Customers, the statutory guarantee of conformity provided for in Articles L. 217-3 et seq. of the Consumer Code: for a period of 2 years from the date of delivery of the Product. This guarantee applies where the Product delivered does not correspond to the description provided at the time of sale, is faulty, or is not fit for the purpose normally expected of a product of this type.
During the first 12 months following delivery, the defect is presumed to have existed at the time of delivery, unless the Seller provides evidence to the contrary. The Consumer Customer may, as a matter of priority, request the repair or replacement of the Product; if this proves impossible, they may obtain a full or partial refund

for all Customers, the statutory warranty against hidden defects provided for in Articles 1641 et seq. of the Civil Code, for a period of 2 years from the discovery of the defect. This guarantee applies where the Product has a hidden defect, undetectable at the time of purchase, which renders it unfit for its intended purpose or significantly impairs its use.
The Customer must then prove that this defect already existed at the time of purchase. They may choose either to return the Product and receive a full refund, or to keep it and receive a partial refund of the price.

Both of these guarantees are to be exercised directly with the Seller, who remains liable in respect of them in their capacity as seller, including for Products which they do not manufacture themselves. The Seller retains, where applicable, the right to seek recourse against the manufacturer or supplier of the Product in question.

11.3 Exclusions

The following are not covered by either a manufacturer’s warranty or the statutory warranties mentioned above: normal wear and tear of the Product; damage resulting from misuse; installation that does not comply with the manufacturer’s recommendations; or use of the Product with a vehicle with which it is not compatible.

Article 12. Liability

The Customer is solely responsible for the choice of Products ordered, their storage and their use. In particular, it is the Customer’s responsibility to ensure, in accordance with the conditions set out in Article 4 hereof, that the Product is compatible with their vehicle before placing any Order.

The Seller shall not be held liable for any harmful consequences resulting from the fitting or installation of the Product carried out by the Customer themselves or by an unauthorised third party, nor for any failure to comply with the instructions, recommendations or safety guidelines provided by the Product’s manufacturer.

The Seller is not the manufacturer of the Products it distributes. In accordance with Article 1245-6 of the Civil Code, the Seller cannot be held liable, under the same conditions as the manufacturer, for design or manufacturing defects in a Product for which it is not responsible. This limitation of liability applies without prejudice to the statutory guarantees set out in Article 11 hereof, which remain applicable in all circumstances.

The photographs, illustrations and descriptions shown on the Website are for information purposes only, subject to the conditions already set out in Article 4. In the event of a manifest discrepancy between the advertised characteristics of a Product and the Product delivered, the Seller may offer to exchange or refund the Product in question.

The Seller shall not be held liable or in breach of contract in the event of non-performance or delay in the performance of its obligations resulting from a force majeure event, under the conditions set out in Article 16 hereof.

Article 13. Intellectual Property and Trade Marks

The Website, its structure, its Catalogue, and all the elements comprising it (text, visuals, logos, site map, database, computer code) are the exclusive property of the Seller or its partners, and are protected by intellectual property law.

This protection extends in particular to articles, texts and visuals published on the Website’s blog, as well as to all photographs on the Website other than those illustrating product pages, in particular illustrative photographs, situational photographs or editorial content.

The photographs and illustrations appearing on the product pages are sourced, in whole or in part, from the suppliers and manufacturers of the relevant Products, and remain the property of the latter or their successors in title. The Seller has obtained the necessary authorisations from its suppliers to reproduce these images on the Website, for the sole purpose of illustrating and describing the Products offered for sale.

Any reproduction, representation, adaptation or use, in whole or in part, of the Website or its Content, including blog posts, the photographs mentioned above, and the illustrations on product pages, by any means whatsoever, without the prior written authorisation of the Seller or, as the case may be, the relevant supplier or manufacturer, is prohibited and may constitute an infringement.

The trade marks, names, logos and manufacturers’ references mentioned on the Website, in particular for the purposes of identifying or ensuring the compatibility of the Products, remain the exclusive property of their respective owners. Their mention on the Website does not imply any affiliation, partnership or endorsement between the Seller and these owners, unless expressly stated otherwise.

Article 14. Personal Data

The Seller collects and processes personal data relating to the Customer in connection with the management of Accounts, the processing of Orders, customer relations and, where applicable, for commercial purposes, in accordance with Regulation (EU) 2016/679 of 27 April 2016 (GDPR) and the amended Act No. 78-17 of 6 January 1978 on data protection.

The procedures for the collection, processing and storage of the Customer’s personal data, as well as the rights available to them (access, rectification, erasure, objection, restriction, portability) and the procedures for exercising them, are set out in the Seller’s privacy policy, available on the Website, which forms an integral part of these T&Cs.

Article 15. Complaints and customer service

For any queries, requests for information or complaints relating to an Order, a Product or the performance of these T&Cs, the Customer may contact the Seller’s customer service department exclusively by electronic means, using the contact form available on the Website or directly at the following email address:

The Seller undertakes to acknowledge receipt of any complaint within 2 working days and to respond to it within an indicative period of 30 working days.

This clause does not apply to the enforcement of statutory guarantees of conformity and hidden defects, which are governed by Clause 11 herein, nor to the exercise of the right of withdrawal, which is governed by Clause 9 herein.

Article 16. Force majeure

Any event beyond a party’s reasonable control, which it could not have foreseen and the effects of which it could not have avoided by taking appropriate measures, shall be deemed a case of force majeure, including in particular: natural disasters, epidemics, total or partial strikes affecting the Seller or any of its service providers, prolonged breakdown or interruption of transport or telecommunications networks, a cyber-attack, a prolonged customs hold, as well as any decision by a public authority restricting or prohibiting the import, export or sale of the Products.

The party invoking a force majeure event shall notify the other party as soon as possible, specifying, as far as possible, the expected duration of the hindrance.

The performance of obligations affected by force majeure shall be suspended for the duration of the event, and neither party shall be held liable in this respect.

If the event of force majeure continues for more than 30 days, either party may terminate the relevant Order in writing, without any compensation being payable by either party. The Customer shall then be refunded any sums already paid in respect of the relevant Order.

Article 17. Non-waiver

The fact that one of the parties fails, at any given time, to rely on a breach by the other party of any of the obligations set out in these GTC shall not be construed in future as a waiver of the obligation in question, nor of any of the rights arising from these T&Cs.

Article 18. Mediation and dispute resolution

18.1 Consumer Customers resident in the European Union

In accordance with Articles L. 611-1 et seq. of the French Consumer Code, a Consumer Customer residing in the European Union has the right to refer a dispute with the Seller to a consumer mediator free of charge with a view to an amicable resolution, following a prior written attempt to resolve the matter with the Seller which has proved unsuccessful.

Consumer Customers residing in the European Union must submit a request for mediation via the European Online Dispute Resolution platform, accessible at the following address: https://ec.europa.eu/consumers/odr/.

18.2 Consumer Customers residing outside the European Union

The consumer mediation mechanism described in clause 18.1, which is specific to French and European law, does not apply in the same way to Consumer Customers residing outside the European Union. Such Customers are invited to contact the Seller’s customer service department as a matter of priority with a view to reaching an amicable resolution, in accordance with the terms set out in Article 15 hereof.

18.3 Business Customers

This article does not apply to Business Customers, as consumer mediation is reserved for disputes involving consumers.

Article 19. Governing Law and Competent Jurisdiction

19.1 Applicable Law

These General Terms and Conditions are governed by French law.

For Consumer Customers residing in another Member State of the European Union, this choice of law shall not have the effect of depriving them of the protection afforded by the mandatory provisions of the law of their country of residence, in accordance with Article 6 of Regulation (EC) No 593/2008 (known as Rome I).

19.2 Prior amicable resolution

In the event of a dispute, the parties shall endeavour to seek an amicable solution before taking any legal action, without this process interrupting the time limits for taking action, in particular in respect of the guarantees provided for in Article 11 hereof.

19.3 Competent court

In the absence of an amicable resolution, the competent court shall be that of the place where the defendant is domiciled, or that of the place of delivery of the Product, at the claimant’s discretion. However, a Consumer Customer residing in another Member State of the European Union may, in accordance with Regulation (EU) No 1215/2012, bring proceedings before either the courts of their country of residence or the French courts, at their discretion.

19.4 Specific clause for Business Customers

In the event of any dispute with a Business Customer who is a trader, the parties agree that the Commercial Court of Lyon shall have exclusive jurisdiction to rule on any dispute relating to the interpretation or performance of these General Terms and Conditions of Sale, including in the event of multiple defendants or third-party proceedings, notwithstanding the rules of ordinary law on territorial jurisdiction.

Appendix 1. Standard withdrawal form

(For the attention of Consumer Customers wishing to exercise their right of withdrawal, in accordance with Article R. 221-1 of the Consumer Code. This form does not have to be used word for word; any unambiguous statement expressing the intention to withdraw is admissible.)

For the attention of [Seller’s company name], [postal address provided]:

I/we (*) hereby give notice of my/our (*) withdrawal from the contract for the sale of the goods listed below:

Order no.: ______________________________

Ordered on: ______________________________

Received on: ______________________________

Full order or part of the order: Full/Part ______________________________

List of spare parts and accessories affected by the withdrawal: ______________________________

Name of Customer(s): ______________________________

Address of the Customer(s): ______________________________

Date and signature of the customer(s) (only if this form is submitted in paper format):

Date: ______________________________

(*) Delete as appropriate.