MODEL WITHDRAWAL FORM
Complete and send this form only if you wish to withdraw from the contract.

To: ALSCALE GROUP, MakeShort
61 rue de Lyon, 75012 Paris, France
contact@makeshort.io

I hereby give notice of my withdrawal from the following MakeShort subscription contract:

Plan and subscription reference: ______________________________
Subscription date: ______________________________
Consumer's first and last name: ______________________________
Consumer's address: ______________________________
Account email (optional, to help identify the contract): ______________________________
Date of statement: ______________________________
Signature (only if sent on paper): ______________________________

Send this form to contact@makeshort.io or by post to the address above. You may also use “Aide facturation” (Billing help) in the Help Centre, then “Exercer mon droit de rétractation” (Exercise my right of withdrawal), or send any other statement clearly expressing your decision. Sending your statement before the applicable deadline is sufficient.