Withdrawal Form


This form must be completed no later than within 14 days from the delivery of products. If this deadline falls on a Saturday, Sunday or a holiday, the deadline is extended to the next business day.


Last Name*


Purchase order number*

Date Received*

Proof of the date of delivery may be required.

If your order includes several products please indicate the one you wish to return.

I hereby, declare exercising my right of withdrawal. In compliance with Article L 121-20 et seg. of the French Consumer Code for the following product :


UPLA will reimburse the amount, including tax, of the Products returned (delivery costs not included) to the Customer, in the same way as the order was paid.
In any event, the reimbursement will be made no later than within thirty (30) days as of receipt of the products returned by UPLA.



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