MODEL WITHDRAWAL FORM
(complete and return this form only if you wish to withdraw from the contract)

Annex to article L221-5 of the French Consumer Code and Annex A of Directive
2011/83/EU. Using it is not compulsory: you may withdraw by any means,
including a plain email in your own words.

To:
  enginerIT (trading as Hostbrid)
  Mas de Klé 2, 7 rue Isaac Newton, 34110 Frontignan (Hérault), France
  Email: hello@hostbrid.com

I hereby give notice that I withdraw from my contract for the supply of the
following service:

  Service ordered ..........................................................
  Order or service reference ...............................................
  Date of order ............................................................
  Name of consumer .........................................................
  Address of consumer ......................................................
  Account email address ....................................................

  Signature of consumer (only if this form is sent on paper) ...............

  Date .....................................................................

Deadline: 14 calendar days from the date of the order.
Refund: to the same means of payment, within 14 days at the latest.