GENERAL CONDITIONS OF USE AND
1. FIELDS OF APPLICATION
These General Conditions of Use and Sale apply, without restriction or reservation, to all sales concluded by the company RIZ & CO, a simplified joint-stock company with share capital of 5,000 euros, registered in the Trade and Companies Register. of Créteil under number 839 535 895, whose registered office is 52 Avenue Pierre Sémard - 94200 Ivry-sur-Seine (“ the Seller ”) with consumers and non-professional buyers (“ Customers or the Customer ”), wishing to acquire the products offered for sale by the Seller (“ The Products ”) on the website www.misikga.fr (“ le Site Internet ”).
They specify in particular the conditions of ordering, payment, delivery and management of any returns of the Products ordered by the Customers ( General Conditions of Sale ).
They also define the conditions of use by Customers of the technological tools made available by the Seller to enable them to acquire the Products offered for sale on the Website ( General Conditions of Use ).
These General Conditions of Use and Sale may be supplemented by special conditions, set out on the website, before any transaction with the Customer.
They are accessible at any time on the Website and will prevail, where applicable, over any other version or any other contradictory document.
These General Conditions of Use and Sale may be subject to subsequent modifications, the version applicable to the Customer's purchase is that in force on the website on the date of placing the order. Changes to these General Conditions of Use and Sale are binding on users of the Website from the time they are put online and cannot be applied to transactions concluded previously.
Use of the Website is free for Customers (excluding any connection costs billed by the operator) and with no obligation to purchase. Only the purchase of Products from the Seller is chargeable, according to the conditions provided for in the General Conditions of Use and Sale.
2. SELLER CONTACT DETAILS
The Seller's contact details are as follows:
Company name : company " RIZ & CO "
Legal form : simplified joint stock company with share capital of 5,000 euros
Registration : 839 535 895 RCS Créteil
Head office : 52 Avenue Pierre Sémard - 94200 Ivry-sur-Seine
Email address : firstname.lastname@example.org
Telephone number : 01 46 72 09 13
TITLE I – GENERAL CONDITIONS OF SALE
3. PRODUCTS OFFERED FOR SALE
3.1. Pre-contractual product information
The Products offered for sale on the Website are as follows: food products, mainly artisanal, made in South Korea : delicatessen, canning, fermented products, seafood, condiments, oils , drinks, etc.
The main and essential characteristics of the Products are presented on the Website and in particular : the price, specifications, illustrations, indications of dimensions, weight, colors, components, quantities, features or capabilities of the Products.
The Customer is required to read it before placing an order. He must refer to the description of each Product in order to know the properties and essential particularities, the delivery times, the possibility or not of asserting his right of withdrawal for this product.
The choice and purchase of a Product is the sole responsibility of the Customer. The Customer acknowledges being the sole judge of the relevance of the Products in view of any contraindications which may be personal to him, as well as their compatibility with any other products he may use or treatments to which he may be subject. It is up to the Customer to be assisted by counsel if he does not consider himself sufficiently informed.
The photographs and graphics presented on the Website are not contractual and cannot engage the responsibility of the Seller.
The pre-contractual information is presented in French and the Customer confirms having read it when validating the order.
The Products presented on the Website are offered for sale for the territory of metropolitan France. If the Seller were to later decide to sell to a country other than mainland France, the Customer would be the importer of the Product(s) concerned.
3.2. Availability of products / validity of the offer
The product offers and prices appearing on the Website are valid as long as they are visible and available. Any product temporarily unavailable is indicated as such on the Site (the addition to the basket will be impossible).
The Seller ensures that it implements all necessary efforts to ensure the availability of the entire range of Products offered.
All or part of the quantity of a product added to the basket may no longer be available at the time of validation of the order. If this is the case, the Customer is informed directly and before any payment of the said order.
The Products are supplied at the current prices appearing on the Website, when the order is recorded by the Seller. Prices are expressed in Euros, excluding and including tax.
The prices take into account any reductions that may be granted by the Seller on the Website.
These prices do not include processing, shipping, transport and delivery costs, which are invoiced in addition, under the conditions indicated on the Website and calculated prior to placing the order.
If the Customer requests a faster or more expensive shipping method than standard shipping, the additional delivery costs, as they appear at the time of the validation of the order by the Customer, are entirely at his expense.
The payment requested from the Customer corresponds to the total amount of the purchase, including these costs.
In the event of a calculation error on the Website revealing a price lower than the price normally charged by the Seller, the lowest price is applied to the Customer, unless this price is clearly derisory (i.e. unrelated with the actual value of the product ordered). In this case, and despite automatic order confirmation by the Seller, said order is cancelled. The Customer is informed by the Seller as soon as possible so that he can, if he wishes, place a new order.
The sale of products is subject to VAT according to the terms applicable to the operation, which may differ according to the place of delivery and the nature of the goods.
For all Products shipped outside the European Union and DOM-TOM, the price will be calculated excluding taxes automatically on the invoice. Customs duties or other local taxes or import duties or state taxes may be payable. They will be charged to and are the sole responsibility of the Customer.
4.1. Placing the order
Validation of the Order by the Customer
It is up to the Customer to select on the Website the Products he wishes to order and to add them to his " Panier ".
Before validating his Order, the Customer has the possibility of checking the details and the essential characteristics of the Products placed in his Basket, as well as the total price which he will have to pay when validating the Order. It is the Customer's responsibility to verify the accuracy of the order and to immediately rectify any errors.
The simple fact of adding a product to the basket does not constitute validation of the order. Any order not validated by the Customer will not be honored.
The validation of an order on the Website is carried out when the Client :
accepts these General Conditions of Use and Sale by checking the box provided for this purpose, and
validates his basket and his order (by clicking on the icon "I complete my order"), and
pay for their order (by clicking on "pay to order").
Confirmation of the Order by the Seller
The sale is final only after the sending to the Customer of the confirmation of the acceptance of the order by the Salesman, by e-mail, which must be sent without delay and after receipt by this one of the entirety of the price.
Any order placed, validated by the Customer and confirmed by the Seller, under the conditions and according to the methods described above, on the Website constitutes the formation of a contract concluded at a distance between the Customer and the Seller.
Unless proven otherwise, the data recorded in the Seller's computer system constitutes proof of all transactions concluded with the Customer.
The Seller reserves the right to cancel or refuse any order from a Customer with whom there is a dispute relating to a previous order (in particular in the event of a payment dispute or a delivery dispute). The Seller will inform the Customer of this by e-mail.
The Customer will be able to follow the progress of his order on the Website.
The Seller therefore reserves the right to refuse orders for the same Product in large quantities (more than 200 identical items).
4.2. Modification and cancellation of the order
Once confirmed and accepted by the Seller, under the conditions described above, the order can no longer be modified or canceled (excluding the exercise of the right of withdrawal or force majeure).
4.3. Order history
The order history can be consulted at any time by the Customer in his Customer Account created on the Website.
5. PAYMENT TERMS
The price is payable in cash, in full on the day the order is placed by the Customer, by means of secure payment, according to the terms set out below.
5.1. Payment by credit card
The Seller accepts Carte Bleue, Visa and MasterCard. The Customer provides the details of his credit card (card holder, card number, expiry date and security code) when confirming the order.
Payment by bank card is irrevocable, except in the case of fraudulent use of the card. In this case, the Customer may request the cancellation of the payment and the return of the corresponding sums.
For any order and/or in the event of random checks, the validation of the order by entering a 3D-SECURE code provided by the bank of the holder of the bank card and communicated by SMS, may be requested from the Customer in order to validate the payment.
All banking transactions are carried out on the Internal Site in a secure manner. The Seller uses the HTTPS protocol of its service provider ADYEN which encrypts information in order to protect all data related to personal information and means of payment. The information communicated when placing the order is not stored on the Seller's servers. To increase security, the Customer communicates this information with each new order.
The Customer can choose to activate the "one-click" option by checking the box "save my card for my next orders ". By checking this box you accept that your bank details will be saved in your Customer Account, in a secure way, in order to avoid you having to enter them again during future orders. The data linked to the Customer's bank card is not stored by the Seller, but by its service provider ADYEN.
The Customer may terminate the "one-click" option at any time.
If the Customer does not wish to activate this option, the information necessary to pay for his order by credit card must be communicated with each of his orders.
In the event of payment made fraudulently, in particular through stolen credit card numbers, the Seller reserves the right to transmit to the authorities all information relating to the order paid fraudulently.
5.2. Payment by Paypal account
The Customer can proceed to the payment of his order via his Paypal account. To this end, the Customer must select "Paypal" when choosing the method of payment. The Customer is then redirected to the Paypal interface. This asks the Customer to identify himself before an order summary is offered to him. The Customer validates said order summary. At this end, an order confirmation page appears. An e-mail is sent to the Customer to confirm the order and send him the resulting invoice.
5.3. Payment by voucher and gift voucher
The Customer can proceed to the payment of all or part of his order by purchase voucher or gift voucher. To this end, the Customer must select "Use a voucher or gift voucher" when choosing the method of payment. The purchase voucher or the gift voucher can only be used once and cannot be combined with another purchase voucher or gift voucher. If the Customer forgets to select the purchase voucher or gift voucher when validating his Order, no modification of the order or complaint can be accepted.
An invoice is established by the Seller for each validated and confirmed order. It is available in digital format on the Customer Account created on the Website. The Customer has the option of downloading and/or printing it. He can request a paper version from Customer Service.
5.5. Default of payment
The Customer guarantees to the Seller that the means of payment used is valid and is not the result of a fraudulent operation.
The Seller will not be required to deliver the Products ordered by the Customer if the latter does not pay the full price under the conditions indicated above.
Payments made by the Customer will only be considered final after effective collection of the sums due by the Seller.
In addition, the Seller reserves the right, in the event of non-compliance with the payment conditions listed above, to suspend or cancel the delivery of orders in progress made by the Customer.
The delivery of the order is carried out by third-party transport providers mandated by the Seller (the “ Deliverer ”).
Delivery is constituted by the transfer to the Customer of physical possession or control of the Product.
Except in special cases or unavailability of one or more Products, the Products ordered will be delivered in one go.
6.1. Delivery time
The delivery time includes the shipping time indicated on the Product sheet, to which is added the processing and delivery time to the address indicated by the Customer when ordering on the Website.
The Seller undertakes to make its best efforts to deliver the products ordered by the Customer within the deadlines specified above. However, these deadlines are given for information only.
6.2. Shipping cost
Delivery costs are calculated automatically and indicated when choosing the delivery method.
The amount of the delivery costs varies according to the amount of the basket and the place of delivery.
Tariff indications covering the cases of metropolitan France (excluding armed postcodes), Belgium and Switzerland are given on the page http://www.misikga.fr/informations-livraison.html.
6.3. Relay point delivery
In the case of delivery to a relay point, the Customer is notified of the arrival of his package by e-mail.
Upon request from the Relay Point, the Customer must prove his identity by presenting a valid identity document. In the event that the Customer is unable to receive the order himself, it is up to him to appoint a third party with a power of attorney and a photocopy of the said Customer's identity document.
The parcels are available to the recipient for a period of 10 to 14 days depending on the relays.
Packages that are not collected at the end of this period are returned to the Seller.
The return of the order to the Seller due to the Customer's failure to collect it, within the time indicated, entails the cancellation and reimbursement of the said order to the Customer. In this case, the amount of delivery costs and return costs will be deducted from the amount refunded to the Customer. The amount of return costs depends on the size, weight, geographical area and nature of the order not withdrawn by the Customer. The amount of the return costs that will be applied will be the price actually paid by the Seller to his carrier.
In such a case, if the Customer still wishes to acquire the Products, he must place a new order and bear the delivery costs associated with this new order.
6.4. Delivery to a place designated by the Customer
The Customer can choose delivery by carrier to the delivery address indicated when placing his order.
Delivery is made at the property limit (or joint ownership if the place of delivery is located in a joint ownership). The Deliverer is not required to enter the Customer's home when the order is delivered.
It is the Customer's responsibility to check prior to the order, in particular with regard to the specifications of the products in terms of size, weight and volume, that they can be transported by normal access routes to the place of delivery. The delivery being made by a professional carrier, the place of delivery must be accessible to the vehicles provided for this purpose (utility vehicles up to 20 m³) and this up to the limit of ownership or joint ownership. In the event of non-accessibility by this type of vehicle, the Customer undertakes to recover the goods at an accessible collection point.
In the event of an error in entering the address by the Customer, the latter will be solely responsible for the delay and/or the impossibility of delivery. The cost of reshipping the order will be borne by the Customer.
The Customer agrees to be present at the delivery address indicated on the day of delivery. The Seller cannot be held responsible for the delivery of the Product by the Deliverer to a third party present at the delivery address declared by the Customer.
If during the delivery, the Customer is not present, a transit advice note is left with the recipient. The deliverer will contact the Customer to agree on a new delivery date. After the second visit, the delivery person will drop off the package at a relay point near the Customer's home.
In the event of delivery to the Customer's place of work, the Deliverer not having access to the premises, the Customer must take all necessary precautions so that the Deliverer can deliver the Product to him.
6.5. Receipt of the package
Upon receipt of the package, the Customer (or his representative) checks the condition of his package before signing the delivery note and may refuse any damaged package or product by noting on the delivery note "refusal for damage".
The delivery note can be a paper document or an electronic medium kept by the Seller as proof of delivery. By signing the delivery note, the Customer acknowledges having received his order. The Seller thus declines all responsibility in the event of subsequent loss or theft.
6.6. Abnormal delay in delivery
If the Products ordered have not been presented to the Customer or to the Relay Point for delivery within 45 (forty-five) days after the indicative delivery date, for any reason other than force majeure or the fact of the Customer, the sale may be canceled at the Customer's written request under the conditions provided for in Articles L 216-2 L 216-3 L241-4 of the Consumer Code. The sums paid by the Customer will then be returned to him no later than fourteen (14) days following the date of termination of the contract, excluding any compensation or deduction.
6.7. Customer's special request
In the event of a specific request from the Customer concerning the conditions of packaging or transport of the products ordered, duly accepted in writing by the Seller, the related costs will be the subject of additional specific invoicing, on an estimate previously accepted in writing by the customer.
7. TRANSFER OF OWNERSHIP - TRANSFER OF RISKS
The transfer of ownership of the Seller's Products, to the benefit of the Customer, will only be carried out after full payment of the price by the latter, and this regardless of the date of delivery of the said Products.
Whatever the date of the transfer of ownership of the Products, the transfer of the risks of loss and deterioration relating thereto will only take place when the Customer (or his representative) takes physical possession of the Products. The Products therefore travel at the Seller's risk and peril.
8. RIGHT OF WITHDRAWAL
In accordance with the legal provisions in force, the Customer has a period of 14 (fourteen) days from receipt of the Product to exercise his right of withdrawal from the Seller, without having to justify reasons or pay a penalty, end of exchange or refund, provided that the Products are received in perfect condition within 7 (seven) days of notification to the Seller of the Customer's decision to withdraw.
The right of withdrawal may be exercised by registered mail with request for acknowledgment of receipt (to the Seller's postal address referred to in Article 2 hereof) or by e-mail (to the address Seller's electronic mail referred to in Article 2 hereof), by attaching :
the withdrawal form attached to the General Conditions of Use and Sale ;
the Order invoice.
Returns must be made in their original condition and complete (packaging, accessories, instructions, etc.), allowing them to be put back on the market in new condition.
Returns are made at the expense and risk of the Customer, in particular in the event of loss, theft or damage to the Product during its return.
In accordance with the terms of article L221-28 of the Consumer Code, the right of withdrawal cannot be exercised by the Customer for :
Products made to the Customer's specifications or clearly personalized;
Products liable to deteriorate or expire rapidly;
Products unsealed by the Customer after delivery ;
Products which cannot be returned for reasons of hygiene or health protection;
Products which, after being delivered and by their nature, are inseparably mixed with other items.
Upon receipt of the returned Product by the Seller, the latter will verify :
that the request for withdrawal has been exercised by the Customer in accordance with the General Conditions of Use and Sale ;
that the Product has been returned to the Seller in accordance with the General Conditions of Use and Sale.
If these two points are in conformity, and that a refund is requested by the Customer , the Seller will proceed within 7 (seven) days of receipt of the Product returned by the Customer, to the refund on the bank card or the paypal account used for payment for the Product. Only the price of the returned Product(s) and the delivery costs are reimbursed by the Seller; the return costs remain the responsibility of the Customer. The refund must have been made by the Seller to the Customer within a maximum period of 14 days from the notification to the Seller of the decision to withdraw.
If these two points are compliant, and an exchange is requested by the Customer, the Seller will proceed within 7 (seven) days to dispatch the replacement Product (subject to the availability of the Product in Stock). If the Product is not available within this period, the Product will be refunded, under the conditions referred to in the previous paragraph.
9. SELLER'S RESPONSIBILITY - WARRANTY
The Products sold on the Website comply with the regulations in force in France and have characteristics compatible with non-professional uses.
The Products supplied by the Seller benefit automatically and without additional payment, independently of the right of withdrawal, in accordance with the legal provisions :
the legal guarantee of conformity, for Products that appear to be defective, spoiled or damaged or that do not correspond to the order,
the legal guarantee against hidden defects resulting from a material, design or manufacturing defect affecting the products delivered and rendering them unfit for use,
under the conditions and according to the methods referred to in the box below :
It is recalled that under the legal guarantee of conformity, the Customer has a period of two years from the delivery of the goods to act against the Seller; can choose between repairing or replacing the Product ordered, subject to the cost conditions provided for in Article L 217-9 of the Consumer Code; is exempted from providing proof of the existence of the lack of conformity of the Product during the twenty-four months following the delivery of the Product.
The legal guarantee of conformity applies independently of any commercial guarantee granted.
The Customer may decide to implement the guarantee against hidden defects of the Product in accordance with article 1641 of the Civil Code; in this case, he can choose between the resolution of the sale or a reduction of the sale price in accordance with 1644 of the Civil Code.
In order to assert his rights, the Customer must :
inform the Seller by registered mail with request for acknowledgment of receipt (to the Seller's postal address referred to in Article 2 hereof) or by e-mail (to the Seller's e-mail address referred in article 2 hereof):
non-compliance of the Products within a maximum period of 15 (fifteen) days from the delivery of the Products ;
hidden defects within a maximum period of 15 (fifteen) days from their discovery.
The Customer must attach the invoice for the Order to his shipment and specify whether he intends to obtain a refund or replacement of the Products concerned. In accordance with article L217-9 of the Consumer Code, the seller may not proceed according to the buyer's choice if this choice entails a manifestly disproportionate cost with regard to the other method, taking into account the value of the good. or the importance of the defect (the Seller is then required to proceed, unless it is impossible, according to the method not chosen by the buyer).
return the Products concerned to the Seller in the state in which they were received with all the accompanying elements (accessories, packaging, instructions, etc.).
The Seller's warranty is, in any event, limited to the replacement or reimbursement of non-compliant Products or Products affected by a defect.
The responsibility of the Seller cannot be engaged in the following cases:
non-compliance with the legislation of the country in which the products are delivered, which it is the Customer's responsibility to verify ;
in the event of misuse, use for professional purposes, negligence or lack of maintenance on the part of the Customer, as in the event of normal wear and tear of the Product, accident or force majeure.
If the Customer requests the replacement of the Products deemed non-compliant or defective , the Seller will proceed to the shipment of a replacement Product as soon as possible and at the latest within 15 (fifteen) days following the observation by the Seller of the lack of conformity or the hidden defect.
If the Customer requests reimbursement for the Products deemed non-compliant or defective, this will be made as soon as possible and at the latest within 15 (fifteen) days following the Seller's finding of the lack of conformity or the hidden defect.
Shipping costs will be reimbursed on the basis of the invoiced rate and return costs will be reimbursed on presentation of receipts.
Reimbursement by the Seller will be made by credit (i) to the Customer's associated bank account associated with the credit card used for payment of the Order (ii) to the paypal account used by the Customer for payment of the Order.
10. INTELLECTUAL PROPERTY
The content of the Website is the property of the Seller and its partners and is protected by French and international laws relating to intellectual property. Any total or partial reproduction of this content is strictly prohibited and is likely to constitute an offense of counterfeiting.
TITLE II - PROVISIONS COMMON TO THE GENERAL CONDITIONS OF USE AND THE GENERAL CONDITIONS OF SALE
In the event of a change in unforeseeable circumstances at the time of the conclusion of the contract, in accordance with the provisions of article 1195 of the Civil Code, the Party which has not agreed to assume an excessively onerous performance risk may request a renegotiation of the contract. to its co-contractor.
12. FORCE MAJEURE
The Parties cannot be held liable if the non-execution or the delay in the execution of any of their obligations, as described herein, results from a case of force majeure, within the meaning of Article 1218 of the Civil Code.
13. PARTIAL NULLITY
If one or more stipulations hereof are held to be invalid or declared as such pursuant to a law, regulation or final decision of a competent jurisdiction, the other stipulations shall retain their full force and scope. .
14. APPLICABLE LAW - LANGUAGE
These General Conditions of Use and Sale and the resulting operations are governed by French law.
They are written in French. In the event that they are translated into one or more languages, only the French text shall prevail in the event of a dispute.
All disputes to which the purchase and sale transactions concluded in application of these General Conditions of Use and Sale could give rise, concerning their validity, their interpretation, their execution, their termination, their consequences and their consequences and which could not be resolved between the seller and the customer will be submitted to the competent courts under the conditions of common law.
The Customer is informed that he can in any case resort to conventional mediation, in particular with the Consumer Mediation Commission (C. consom. art. L 612-1) or with existing sectoral mediation bodies. , and whose references appear on the Website or to any alternative dispute resolution method (conciliation, for example) in the event of a dispute.
16. PRE-CONTRACTUAL INFORMATION - CUSTOMER ACCEPTANCE
The Customer acknowledges having had communication, prior to placing his order and concluding the contract, in a readable and understandable manner, of all the information listed in Article L. 221-5 of the Consumer Code, and including the following information:
the essential characteristics of the Products, the price of the Products and ancillary costs (delivery, for example), the indicative delivery times, the means of payment accepted;
information relating to the identity of the Seller, his postal, telephone and electronic contact details, and his activities ;
information relating to legal and contractual guarantees and their implementation methods; information relating to the right of withdrawal (existence, conditions, deadline, methods of exercising this right and standard form of withdrawal), the costs of returning the Products, the methods of termination and other important contractual conditions_cc781905-5cde-3194-bb3b -136bad5cf58d_;
the possibility of resorting to conventional mediation in the event of a dispute.
The fact for a natural (or legal) person to order on the Website implies full and complete acceptance and acceptance of these General Conditions of Use and Sale and obligation to pay for the Products ordered, which is expressly recognized by the Customer. , who waives, in particular, to avail himself of any contradictory document, which would be unenforceable against the Seller.
APPENDIX 1 - PROVISIONS RELATING TO LEGAL GUARANTEES
Article L217-4 of the Consumer Code
The seller is required to deliver goods that comply with the contract and is liable for any lack of conformity existing at the time of delivery. He is also liable for any lack of conformity resulting from the packaging, the assembly instructions or the installation when this has been charged to him by the contract or has been carried out under his responsibility.
Article L217-5 of the Consumer Code
To be in conformity with the contract, the good must:
Be fit for the use usually expected of a similar item and, where applicable:
correspond to the description given by the seller and possess the qualities that the latter presented to the buyer in the form of a sample or model
present the qualities that a buyer can legitimately expect given the public statements made by the seller, the producer or his representative, in particular in advertising or labeling
Or present the characteristics defined by mutual agreement by the parties or be suitable for any special use sought by the buyer, brought to the attention of the seller and which the latter has accepted.
Article L217-12 of the Consumer Code
The action resulting from the lack of conformity is prescribed by two years from the delivery of the goods.
Article L217-16 of the Consumer Code
When the buyer asks the seller, during the course of the commercial guarantee which was granted to him during the acquisition or repair of movable property, for a restoration covered by the guarantee, any period of immobilization of at least seven days is added to the remaining warranty period. This period runs from the request for intervention by the buyer or the provision for repair of the property in question, if this provision is subsequent to the request for intervention.
Article 1641 of the Civil Code
The seller is bound by the guarantee on account of hidden defects in the thing sold which render it unfit for the use for which it is intended, or which so diminish this use that the buyer would not have acquired it, or would have paid less if he had known them.
Article 1648 paragraph 1 of the Civil Code
The action resulting from redhibitory defects must be brought by the purchaser within two years from the discovery of the defect.
APPENDIX 2 - WITHDRAWAL FORM
This form must be completed and returned only if the Customer wishes to withdraw from the order placed on the website www.misikga.fr , except exclusions or limits to the exercise of the right of withdrawal according to the General Conditions of Use and Sale applicable.
For the attention of : Company " RIZ & CO ", located at 52 Avenue Pierre Sémard - 9420-0 Ivry-sur-Seine
Order of: ............................................... ............................
Order number: ............................................ ............
Client name : .............................................. .............................
Customer's address: .............................................. ........................
Signature of the Customer (only in the event of notification of this form on paper):