Formulaire de Résiliation

(LOI SUR LA PROTECTION DU CONSOMMATEUR, ART. 190)

 

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À:               ..................................................................................................................................

 

                                                               (nom du commerçant)

 

             ..................................................................................................................................

 

             ..................................................................................................................................

 

                                                             (adresse du commerçant)

 

Date:          ..................................................................................................................................

 

                                                            (date d'envoi de la formule)

 

En vertu de l'article 193 de la Loi sur la protection du consommateur, je résilie le contrat

 

(No .........................................................................................................................................................................)

 

                                                                      (numéro du contrat s'il est indiqué)

 

conclu le ................................................................................ à ..........................................................................................

 

                              (date de la conclusion du contrat)                                             (lieu de la conclusion du contrat)

 

                                                                                                              ..............................................................

 

                                                                                                                                 (nom du consommateur)

 

                                                                                                              ..............................................................

 

                                                                                                                              (signature du consommateur)

 

                                                                                                              ..............................................................

 

                                                                                                              ..............................................................

 

                                                                                                                               (adresse du consommateur)

 

1978, c. 9, annexe 8.