Terms and Conditions

General Terms and Conditions in accordance with Stichting Webshop Keurmerk

download here the general conditions

 

These General Terms and Conditions of Stichting Webshop Keurmerk have been drawn up in consultation with the Consumers' Association in the context of the Coordination Group Self-Regulation Consultation (CZ) of the Social and Economic Council and will come into effect on 1 June 2014.

These General Terms and Conditions will be used by all members of the Stichting Webshop Keurmerk with the exception of financial services as referred to in the Financial Supervision Act and insofar as these services are supervised by the Netherlands Authority for the Financial Markets.

 

Table of Contents:

Article 1 - Definitions

Article 2 - Identity of the entrepreneur Article 3 - Applicability

Article  4 - The offer Article 5 - The agreement Article 6 - Right of withdrawal

Article 7 - Obligations of the consumer during the reflection period

Article 8 - Exercise of the right of withdrawal by the consumer and costs thereof Article 9 - Obligations of the entrepreneur in the event of withdrawal

Article 10 - Exclusion right of withdrawal Article 11 - The price

Article 12 - Performance and additional guarantee Article 13 - Delivery and execution

Article 14 - Duration transactions: duration, cancellation and extension Article 15 - Payment

Article 16 - Complaints procedure Article 17 - Disputes Article 18 - Industry guarantee

Article 19 - Additional or different provisions

Article 20 - Amendment of the general terms and conditions of Stichting Webshop Keurmerk

 

Article 1 - Definitions

In these terms and conditions:

1. Additional agreement: an agreement whereby the consumer acquires products, digital content and/or services in connection with a distance contract and these items, digital content and/or services are supplied by the entrepreneur or by a third party on the basis of an agreement between that third party and the entrepreneur;
2. Reflection period: the period within which the consumer can make use of his right of withdrawal;
3. Consumer: the natural person who is not acting for purposes related to his trade, business, craft or profession;
4. Day: calendar day;
5. Digital content: data produced and delivered in digital form;
6. Duration agreement: an agreement that extends to the regular delivery of goods, services and/or digital content during a certain period;
7. Durable data carrier: any tool – including e-mail – that enables the consumer or entrepreneur to store information that is personally addressed to him in a way that prevents future consultation or use. for a period that is appropriate to the purpose for which the information is intended, and which allows unaltered reproduction of the stored information;
8. Right of withdrawal: the consumer's option to waive the distance contract within the cooling-off period;
9. Entrepreneur: the natural or legal person who is a member of Stichting Webshop Keurmerk and who offers products, (access to) digital content and/or services to consumers at a distance;

1. Distance contract: an agreement concluded between the entrepreneur and the consumer within the framework of an organized system for distance selling of products, digital content and/or services, whereby up to and including the concluding the agreement exclusively or partly use is made of one or more techniques for distance communication;
2. Model withdrawal form: the European model withdrawal form included in Annex I of these terms and conditions;
3. Technique for distance communication: means that can be used for concluding an agreement, without the consumer and entrepreneur having to meet simultaneously in the same room;

 

 

 

 

 

 

Article 2 – Identity of the entrepreneur

Jumpmaster

The Feather 72

1633 HE   AVENHORN

 

phone: +31(0)6 2137 4648

 

wwwjumpmaster.nl

info@jumpmasternl

 

Chamber of Commerce: 65880854

VAT: NL001852778B50

 

If the activity of the entrepreneur is subject to a relevant licensing system: the data on the supervisory authority;

 

If the entrepreneur practices a regulated profession:

• the professional association or organization to which he is affiliated;
• the professional title, the place in the EU or the European Economic Area where it was awarded;
• a reference to the professional rules that apply in the Netherlands and indications where and how these professional rules are accessible

 

Article 3 – Applicability

1. These general terms and conditions apply to every offer from the entrepreneur and to every distance agreement concluded between the entrepreneur and
2. Before the distance contract is concluded, the text of these general terms and conditions is made available to the consumer. If this is not reasonably possible, before the distance contract is concluded, the entrepreneur will indicate how the general terms and conditions can be viewed at the entrepreneur and that they will be provided free of charge as soon as possible at the consumer's request.
3. If the distance contract is concluded electronically, notwithstanding the previous paragraph and before the distance contract is concluded, the text of these general terms and conditions can be made available to the consumer electronically in such a way that it is the consumer can be stored in a simple way on a durable data carrier. If this is not reasonably possible, before the distance contract is concluded, it will be indicated where the general terms and conditions can be consulted electronically and that they will be sent free of charge at the request of the consumer electronically or otherwise. t84>
4. In the event that specific product or service conditions also apply in addition to these general terms and conditions, the second and third paragraphs apply mutatis mutandis and the consumer can always invoke the applicable provision in the event of conflicting conditions. most favorable

 

Article 4 – The offer

1. If an offer has a limited period of validity or is made subject to conditions, this is expressly stated in the offer

1. The offer contains a complete and accurate description of the products, digital content and/or services offered. The description is sufficiently detailed to allow a proper assessment of the offer by the consumer. If the entrepreneur uses images, these are a true representation of the products, services and/or digital products offered. Obvious mistakes or obvious errors in the offer are not binding on the entrepreneur.
2. Each offer contains such information that it is clear to the consumer what the rights and obligations are, which are attached to the acceptance of the offer

 

Article 5 – The Agreement

1. Subject to the provisions of paragraph 4, the agreement is concluded at the moment of acceptance by the consumer of the offer and compliance with the associated conditions.
2. If the consumer has accepted the offer electronically, the entrepreneur will immediately confirm receipt of the acceptance of the offer electronically.As long as the receipt of this acceptance has not been confirmed by the entrepreneur, the consumer can cancel the agreement
3. If the agreement is concluded electronically, the entrepreneur will take appropriate technical and organizational measures to secure the electronic transfer of data and ensure a safe web environment. If the consumer can pay electronically, the entrepreneur will observe appropriate security measures. t84>
4. Within legal frameworks, the entrepreneur can inform himself whether the consumer can meet his payment obligations, as well as about all those facts and factors that are important for a responsible conclusion of the distance contract. If, on the basis of this investigation, the entrepreneur has good reasons not to enter into the agreement, he is entitled to refuse an order or request with reasons or to impose special conditions on the implementation.
5. The entrepreneur will send the following information to the consumer at the latest upon delivery of the product, service or digital content to the consumer, in writing or in such a way that it can be stored by the consumer in an accessible manner on a durable data carrier:
   1. the visiting address of the establishment of the entrepreneur where the consumer can go with complaints;
   2. the conditions under which and the manner in which the consumer can make use of the right of withdrawal, or a clear statement regarding the exclusion of the right of withdrawal;
   3. the information about guarantees and existing after-sales service;
   4. the price including all taxes of the product, service or digital content; to the extent applicable, the costs of delivery; and the method of payment, delivery or performance of the distance contract;
   5. the requirements for termination of the contract if the contract has a duration of more than one year or is of indefinite duration;
   6. if the consumer has a right of withdrawal, the model form for
6. In the case of an expensive transaction, the provision in the previous paragraph only applies to the first delivery.

 

Article 6 – Right of withdrawal

By products:

1. The consumer can enter into an agreement with regard to the purchase of a product during a reflection period of at least 14 days without stating reasons. The entrepreneur may ask the consumer for the reason for withdrawal, but not stating his reason(s) require.
2. The reflection period referred to in paragraph 1 starts on the day after the consumer, or a third party designated in advance by the consumer, who is not the carrier, has received the product, or:
   1. if the consumer has ordered several products in the same order: the day on which the consumer, or a third party designated by him, has received the last product. The entrepreneur may, provided he has clearly informed the consumer about this prior to the ordering process, place an order for several products with different delivery times.
   2. if the delivery of a product consists of several consignments or parts: the day on which the consumer, or a third party designated by him, received the last consignment or the last part;

1. in the case of agreements for regular delivery of products during a certain period: the day on which the consumer, or a third party designated by him, has received the first product.

 

For services and digital content that is not supplied on a tangible medium:

1. The consumer can dissolve a service agreement and an agreement for the supply of digital content that is not delivered on a tangible medium for a minimum of 14 days without stating reasons.The entrepreneur may ask the consumer for the reason for withdrawal, but not to state his reason(s)
2. The reflection period referred to in paragraph 3 starts on the day following the closing of the

 

Extended cooling-off period for products, services and digital content that is not delivered on a material medium in the event of not informing about the right of withdrawal:

1. If the entrepreneur has not provided the consumer with the legally required information about the right of withdrawal or the model withdrawal form, the reflection period will expire twelve months after the end of the original reflection period determined in accordance with the previous paragraphs of this article.
2. If the entrepreneur has provided the consumer with the information referred to in the previous paragraph within twelve months after the commencement date of the original cooling-off period, the cooling-off period will expire 14 days after the day on which the consumer has that information

 

Article 7 – Obligations of the consumer during the cooling-off period

1. During the cooling-off period, the consumer will handle the product and the packaging with care. He will only unpack or use the product to the extent necessary to determine the nature, characteristics and functioning of the product. The basic principle here is that the consumer may only handle and inspect the product as he would be allowed to do in a store.
2. The consumer is only liable for depreciation of the product that is the result of a way of handling the product that goes beyond what is allowed in paragraph
3. The consumer is not liable for depreciation of the product if the entrepreneur does not provide him with all legally required information about the right of withdrawal before or at the conclusion of the agreement

 

Article 8 – Exercise of the right of withdrawal by the consumer and costs thereof

1. If the consumer makes use of his right of withdrawal, he will report this to the entrepreneur within the cooling-off period by means of the model withdrawal form or in another unambiguous way.
2. As soon as possible, but within 14 days from the day following the notification referred to in paragraph 1, the consumer returns the product or hands it over to (an authorized representative of) the entrepreneur. This is not necessary if the entrepreneur has offered to collect the product himself. The consumer has in any case observed the return period if he returns the product before the reflection period has expired.
3. The consumer returns the product with all accessories supplied, if reasonably possible in its original condition and packaging, and in accordance with the reasonable and clear instructions provided by the entrepreneur.
4. The risk and the burden of proof for the correct and timely exercise of the right of withdrawal lies with the consumer.
5. The consumer bears the direct costs of returning the product.If the entrepreneur has not reported that the consumer has to bear these costs or if the entrepreneur indicates that he will bear the costs himself, the consumer does not have to pay the costs for return.
6. If the consumer withdraws after having first explicitly requested that the provision of the service or the supply of gas, water or electricity that have not been made ready for sale in a limited volume or certain quantity starts during the reflection period, the consumer is owes the entrepreneur an amount that is proportional to that part of the commitment that has been fulfilled by the entrepreneur at the time of revocation, compared with full compliance with the
7. The consumer bears no costs for the performance of services or the supply of water, gas or electricity, which are not made ready for sale in a limited volume or quantity, or for the supply of district heating, if:
   1. the entrepreneur has not provided the consumer with the legally required information about the right of withdrawal, the reimbursement of costs in the event of withdrawal or the model form for withdrawal, or;

1. the consumer does not expressly request the commencement of the performance of the service or supply of gas, water, electricity or district heating during the reflection period

1. The consumer shall not bear any costs for the full or partial delivery of digital content not supplied on a tangible medium, if:
   1. prior to its delivery he has not expressly agreed to commence fulfillment of the agreement before the end of the cooling-off period;
   2. he has not acknowledged losing his right of withdrawal when granting his consent; or
   3. the entrepreneur has failed to submit this statement from the consumer
2. If the consumer makes use of his right of withdrawal, all additional agreements are legally

 

Article 9 – Obligations of the entrepreneur in the event of withdrawal

1. If the entrepreneur makes the notification of withdrawal by the consumer possible electronically, he will immediately send a
after receipt of this notification.
2. The entrepreneur reimburses all payments from the consumer, including any delivery costs charged by the entrepreneur for the returned product, without delay but within 14 days following the day on which the consumer gives him the withdrawal. he may wait with repayment until he has received the product or until the consumer demonstrates that he has returned the product, whichever is earlier
3. The entrepreneur uses the same payment method that the consumer has used for reimbursement, unless the consumer agrees to a different method. The refund is free of charge for the consumer.
4. If the consumer has opted for a more expensive method of delivery than the cheapest standard delivery, the entrepreneur does not have to reimburse the additional costs for the more expensive method

 

Article 10 – Exclusion right of withdrawal

The entrepreneur can exclude the following products and services from the right of withdrawal, but only if the entrepreneur has clearly stated this in the offer, at least in time for the conclusion of the agreement:

1. Products or services whose price is subject to fluctuations in the financial market over which the entrepreneur has no influence and which may occur within the withdrawal period
2. Agreements concluded during a public auction.A public auction is understood to mean a sales method in which products, digital content and/or services are offered by the entrepreneur to the consumer who is personally present or who is given the opportunity to be personally present at the auction, under the direction of an auctioneer, and where the successful bidder is obliged to purchase the products, digital content and/or services;
3. Service agreements, after full performance of the service, but only if:
   1. the execution has started with the express prior consent of the consumer; en
   2. the consumer has declared that he will lose his right of withdrawal as soon as the entrepreneur has fully performed the agreement;
4. Service agreements for the provision of accommodation, if a specific date or period of performance is provided for in the agreement and other than for residential purposes, transport of goods, car rental services and catering;
5. Agreements relating to leisure activities, if the agreement provides for a specific date or period of performance;
6. Products manufactured to consumer specifications, which are not prefabricated and which are manufactured on the basis of an individual choice or decision of the consumer, or which are clearly intended for a specific person;
7. Products that spoil quickly or have a limited shelf life;
8. Sealed products which are not suitable for return for reasons of health protection or hygiene and of which the seal has been broken after delivery;
9. Products that are irrevocably mixed with other products after delivery;
10. Alcoholic drinks, the price of which has been agreed upon at the conclusion of the agreement, but the delivery of which can only take place after 30 days, and the actual value of which depends on fluctuations in the market over which the entrepreneur has no influence;
11. Sealed audio, video recordings and computer software, the seal of which has been broken after delivery;

1. Newspapers, periodicals or magazines, with the exception of subscriptions thereto;
2. The supply of digital content other than on a tangible medium, but only if:
   1. the execution has started with the express prior consent of the consumer; en
   2. the consumer has declared that he has exercised his right of withdrawal

 

Article 11 – The price

1. During the period of validity stated in the offer, the prices of the products and/or services offered will not be increased, except for price changes as a result of changes in VAT rates
2. Notwithstanding the previous paragraph, the entrepreneur may offer variable prices for products or services whose prices are subject to fluctuations in the financial market and over which the entrepreneur has no influence.This dependence on fluctuations and the fact that any prices mentioned are target prices are included in the offer
.
3. Price increases within 3 months after the conclusion of the agreement are only permitted if they are the result of statutory regulations or
4. Price increases from 3 months after the conclusion of the agreement are only permitted if the entrepreneur has stipulated this and:
   1. these are the result of statutory regulations or provisions; or
   2. the consumer has the authority to cancel the agreement with effect from the day on which the price increase
5. The prices mentioned in the offer of products or services include

 

Article 12 – Compliance with the agreement and extra guarantee

1. The entrepreneur guarantees that the products and/or services comply with the agreement, the specifications stated in the offer, the reasonable requirements of reliability and/or usability and the existing on the date of the conclusion of the agreement. legal provisions and/or government regulations If agreed, the entrepreneur also guarantees that the product is suitable for use other than normal
2. An extra guarantee provided by the entrepreneur, his supplier, manufacturer or importer never limits the legal rights and claims that the consumer can assert against the entrepreneur under the agreement if the entrepreneur has failed to comply with his part of the
3. An extra guarantee is understood to mean every obligation of the entrepreneur, his supplier, importer or producer in which he grants the consumer certain rights or claims that go beyond what is legally required in the event that he has failed to fulfill his part. of the

 

Article 13 – Delivery and execution

1. The entrepreneur will take the greatest possible care when receiving and executing orders for products and when assessing applications for the granting of
2. The place of delivery is the address that the consumer has made known to the entrepreneur.
3. With due observance of what is stated in Article 4 of these general terms and conditions, the entrepreneur will execute accepted orders expeditiously but at the latest within 30 days, unless a different delivery period has been agreed. If the delivery is delayed, or if an order cannot or only partially be executed, the consumer will receive this no later than 30 days after he has placed the order. any compensation.
4. After dissolution in accordance with the previous paragraph, the entrepreneur will immediately refund the amount paid by the consumer
5. The risk of damage and/or loss of products rests with the entrepreneur until the moment of delivery to the consumer or a representative designated in advance and made known to the entrepreneur, unless explicitly stated otherwise

 

Article 14 – Duration transactions: duration, cancellation and extension

Cancellation:

1. The consumer may at all times enter into an agreement that has been entered into for an indefinite period and that extends to the regular delivery of products (including electricity) or services.

cancel with due observance of the agreed cancellation rules and a maximum notice period of one month.

1. The consumer can terminate an agreement that has been entered into for a definite period and which extends to the regular delivery of products (including electricity) or services, at any time towards the end of the definite term, with due observance of the agreed cancellation rules and a notice period of at most one
2. The consumer can conclude the agreements referred to in the previous paragraphs:
   • cancel at any time and not be limited to cancellation at a specific time or period;
   • at least denounce in the same way as they entered into by him;
   • always cancel with the same notice period as the entrepreneur has for himself

Extension:

1. An agreement that has been entered into for a definite period and which extends to the regular delivery of products (including electricity) or services, may not be tacitly extended or renewed for a specific
2. Notwithstanding the previous paragraph, an agreement that has been entered into for a definite period and which extends to the regular delivery of daily news and weekly newspapers and magazines may be tacitly extended for a fixed period of a maximum of three months, if the consumer can terminate the extended agreement towards the end of the extension with a notice period of not more than one
3. An agreement that has been entered into for a definite period and which extends to the regular delivery of products or services may only be tacitly extended for an indefinite period if the consumer may cancel at any time with a notice period of at most one. a maximum of three months if the agreement extends to the regular, but less than once a month, delivery of daily, news and weekly newspapers and magazines
4. An agreement with a limited duration for the regular delivery of daily, news and weekly newspapers and magazines (trial or introductory subscription) is not tacitly continued and ends automatically after the trial or

Duration:

1. If an agreement has a duration of more than one year, the consumer may terminate the agreement at any time after one year with a notice period of no more than one month, unless reasonableness and fairness oppose cancellation before the end of the agreed period. move expensive.

 

Article 15 – Payment

1. Insofar as not provided otherwise in the agreement or additional conditions, the amounts owed by the consumer must be paid within 14 days after the start of the cooling-off period, or in the absence of a cooling-off period within 14 days after the conclusion of the cooling-off period. the agreement. In the case of an agreement to provide a service, this period starts on the day after the consumer has received confirmation of the agreement.
2. When selling products to consumers, the consumer may never be obliged in general terms and conditions to pay more than 50% in advance. When advance payment is stipulated, the consumer cannot assert any rights with regard to the execution of the relevant order or service(s) before the stipulated advance payment has been made.
3. The consumer has the obligation to immediately inform the entrepreneur of any inaccuracies in provided or stated payment information.
4. If the consumer does not comply with his payment obligation(s) in time, after he has been informed by the entrepreneur of the late payment and the entrepreneur has granted the consumer a period of 14 days to still meet his payment obligations , after failure to pay within this 14-day term, the statutory interest will be owed on the amount still owed and the entrepreneur is entitled to charge the extrajudicial collection costs incurred by him. These collection costs amount to a maximum of: 15% on outstanding amounts up to € 2,500,=; 10% on the next € 2,500 and 5% on the next € 5,000 with a minimum of € 40, =. The entrepreneur can deviate from the stated amounts in favor of the consumer and

 

Article 16 – Complaints procedure

1. The entrepreneur has a sufficiently publicized complaints procedure and handles the complaint in accordance with this complaints procedure.

1. Complaints about the execution of the agreement must be submitted fully and clearly described to the entrepreneur within a reasonable time after the consumer has discovered the defects.
2. Complaints submitted to the entrepreneur will be answered within a period of 14 days from the date of receipt. If a complaint requires a foreseeable longer processing time, the entrepreneur will answer within the period of 14 days with a notice of receipt and an indication when the consumer can provide a more detailed answer.
3. A complaint about a product, service or the service of the entrepreneur can also be submitted via a complaints form on the consumer page of the website of Stichting Webshop Keurmerk (http://keur.info/Home/ AbuseOfComplaint) The complaint will then be sent to both the entrepreneur in question and to Stichting Webshop Keurmerk
4. If the complaint cannot be resolved in mutual consultation within a reasonable period or within 3 months after the submission of the complaint, a dispute arises that is subject to the dispute settlement procedure.

 

Article 17 – Disputes

1. Agreements between the entrepreneur and the consumer to which these general terms and conditions apply are exclusively subject to Dutch law
2. Disputes between the consumer and the entrepreneur about the conclusion or implementation of agreements with regard to products and services to be delivered or delivered by this entrepreneur, can, with due observance of the provisions below, be submitted by both the consumer and the entrepreneur to the Webshop Disputes Committee, PO Box 90600, 2509 LP in The Hague (sgc.nl).
3. A dispute will only be dealt with by the Disputes Committee if the consumer has first submitted his complaint to the entrepreneur within a reasonable time
4. No later than twelve months after the dispute has arisen, the dispute must be submitted in writing to the Disputes Committee
5. If the consumer wishes to submit a dispute to the Disputes Committee, the entrepreneur is bound by this choice. If the entrepreneur wishes to do so, the consumer will have to state in writing within five weeks after a written request to that effect by the entrepreneur whether he also wishes to do so or whether he wants the dispute to be handled by the competent court. If the entrepreneur is not informed of the consumer's choice within the period of five weeks, the entrepreneur is entitled to submit the dispute to the competent
6. The Disputes Committee makes a decision under the conditions as laid down in the regulations of the Disputes Committee (http://www.degeschillencommissienl/about-ons/de- committees/2701/webshop). The decisions of the Disputes Committee are binding
7. The Disputes Committee will not deal with a dispute or will discontinue the handling if the entrepreneur has been granted a suspension of payments, has gone bankrupt or has actually terminated his business activities before a dispute has been dealt with by the committee at the hearing. and a final statement is
8. If, in addition to the Webshop Disputes Committee, another disputes committee recognized or affiliated with the Stichting Geschillencommissies voor Consumentenzaken (SGC) or the Financial Services Complaints Institute (Kifid) is competent, the Disputes Committee Stichting is competent for disputes mainly concerning the method of selling or providing services at a distance. Webshop Preferred quality mark For all other disputes, the other recognized disputes committee affiliated with SGC or Kifid.

 

Article 18 – Industry guarantee

1. Stichting Webshop Keurmerk guarantees compliance with the binding advice of the Disputes Committee Stichting Webshop Keurmerk by its members, unless the member decides to submit the binding advice to the court for review within two months after it has been sent. This guarantee is revived if the binding advice has remained in force after review by the court and the judgment from which this appears has become final. Up to a maximum amount of €10,000 per binding advice, this amount will be paid to the consumer by Stichting Webshop Keurmerk. For amounts greater than €10,000 per binding advice, €10,000 will be paid. For the excess, Stichting Webshop Keurmerk has a best-efforts obligation to ensure that the member accepts the binding advice.
2. Application of this guarantee requires that the consumer makes a written appeal to Stichting Webshop Keurmerk and that he transfers his claim against the entrepreneur to Stichting

Webshop Hallmark. If the claim against the entrepreneur exceeds €10,000, the consumer is offered to transfer his claim insofar as it exceeds the amount of €10,000 to Stichting Webshop Keurmerk, after which this organization will make the payment in its own name and at the expense will demand it in court to satisfy the consumer.

 

Article 19 – Additional or different provisions

Additional provisions or provisions that deviate from these general terms and conditions may not be to the detriment of the consumer and must be recorded in writing or in such a way that they can be stored by the consumer in an accessible manner on a durable data carrier. .

 

Article 20 – Amendment of the general terms and conditions of Stichting Webshop Keurmerk

1. Webshop Keurmerk Foundation will not change these general terms and conditions except in consultation with the Consumers' Association.
2. Changes to these terms and conditions only take effect after they have been published in an appropriate manner, on the understanding that in the event of applicable changes during the term of an offer, the provision most favorable to the consumer will be

 

 

Address Stichting Webshop Quality mark: Willemsparkweg 193, 1071 HA Amsterdam

Appendix I: Model withdrawal form

 

 

Model revocation form

 

(only complete and return this form if you wish to revoke the agreement)

 

• To: Jumpmaster

The Feather 72

1633 HE  AVENHORN

Netherlands

 

info@jumpmasternl

 

 

• I/We* hereby give notice that I/we* have entered into our agreement regarding the sale of the following products: [product designation]*

the supply of the following digital content: [designation digital content]* the provision of the following service: [designation service]*, revoke/revoke*

 

 

• Ordered on*/received on* [order date for services or receipt for products]

 

• [Name of consumer(s)]

 

• [Address consumer(s)]

 

• [Signature consumer(s)] (only when this form is submitted on paper)

 

 

* Strike out what is not applicable or fill in what is applicable.

.