Updated 28 August 2026

This is a translation provided for convenience. Only the French version is legally binding.

Model withdrawal form

This form is provided to consumer Clients. It is reproduced in the order confirmation sent on a durable medium after subscription; this page merely makes it easier to consult. Its use is optional: withdrawal may also be exercised through the "Withdraw from your contract" feature on the Subscription page, or by any other unambiguous statement.

To be completed and sent only if you wish to withdraw from your Quiet Metrics subscription within the statutory period:

To Alexandre Ribes EI, La Boîte à Code, 143 avenue de la Côte Radieuse, 66100 Perpignan, France, Protected contact detail: enable JavaScript to reveal it, Protected contact detail: enable JavaScript to reveal it

I hereby give notice of my withdrawal from the contract for the Quiet Metrics subscription taken out on: ______

Consumer's name: ______

Consumer's address: ______

Email address of the account: ______

Date: ______

Signature, only if this form is sent on paper: ______

Withdrawal terminates the contract immediately. During the free trial, no amount is due. An acknowledgement of receipt is sent on a durable medium.