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


To :


9, rue du Lugan

33130 Bègles


Fax: +


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

Withdrawal form


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 We inform you of the existence of "Bloctel", an opt-out system for cold calling, on which you can subscribe here: