Withdrawal form

Electrical and Automation Supply for Industries

Please fill the following form only if you wish to exercise your withdrawal right.

To :

Technic-Achat

9, rue du Lugan

33130 Bègles

FRANCE

Fax: +33.5.56.87.97.66

I wish to withdraw from the purchase of the following items:

Order number*

Items concerned*

Items ordered on (DD/MM/YYYY)

Items received on (DD/MM/YYYY)

Your last name*

Your first name

Postcode

City

Your email*

Phone*

Signature (only if this form is sent back on paper)

Please type in the characters you see below

The information collected on this form is registered on a electronic file created by EASI-Spare for customer management and quotation processing. It is kept for an indefinite period and is intended for the marketing department and the sales department.

You have the right to access, modify, rectify and delete any data concerning you (Art. 34 of the "Loi Informatique et Libertés" (Data Protection Act) of 6th January 1978).To exercise this right, contact us at contact@easi-spare.com. We inform you of the existence of "Bloctel", an opt-out system for cold calling, on which you can subscribe here: https://conso.bloctel.fr/