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Terms and Conditions

TERMS AND CONDITIONS

The document primarily specifies the principles on which contracts are concluded in the Store, including important information about the Seller, the Store and the rights of Consumers.



TABLE OF CONTENTS
§ 1 Definitions
§ 2 Contact with the Seller
§ 3 Technical requirements
§ 4 Shopping in the Store
§ 5 Payments
§ 6 Order fulfillment
§ 7 Right of withdrawal
§ 8 Exceptions to the right of withdrawal
§ 9 Complaints
§ 10 Personal data
§ 11 Reservations
Appendix No. 1: Sample withdrawal form

§ 1 DEFINITIONS

Working days – days from Monday to Friday, excluding public holidays in Poland.
Civil Code – Polish Act of 23 April 1964, the Civil Code.
Consumer – a Buyer who is a natural person, purchasing in the Store or taking steps to make a purchase, without direct connection with his/her business or professional activity.
Account – a digital service regulated by separate regulations within the meaning of the Consumer Rights Act, thanks to which the Buyer can use additional functions in the Store free of charge.
Buyer – any entity purchasing in the Store or taking steps to make a purchase.
Privileged Buyer – a Consumer or a Privileged Entrepreneur.
Privileged Entrepreneur – a Buyer who is a natural person, concluding or intending to conclude an agreement with The Seller enters into an agreement under the Regulations directly related to his business activity, but not of a professional nature for him.
Collection point – the point located at Kłobucka 23B, 02-699 Warsaw.
Regulations – these regulations.
Store – GUILTEESHOP online store - exotic pole dance - shoes, ankle boots, accessories run by the Seller at https://guilteeshop.com.
Seller – ADRIANNA MALEC, an entrepreneur running a business under the name GuilteeShop Adrianna Malec, entered into the Central Register and Information on Business Activity maintained by the minister responsible for the economy and maintaining the Central Register and Information on Business Activity, NIP 7732446822, REGON no. 389380018, ul. Posag 7 Panien 18/116, 02-495 Warsaw; BDO reg. no. 000586963.
Act on Consumer Rights – Polish Act of 30 May 2014 on consumer rights.

§ 2 CONTACT WITH THE SELLER

  1. Postal address: ul. Posag 7 Panien 18/116, 02-495 Warsaw
  2. E-mail address: mail@guiltee.shop
  3. Phone: 48 692 914 024
  4. The cost of a telephone call or data transmission made by the Buyer is based on the basic tariff of the telecommunications operator or internet service provider used by the Buyer. The Seller notes that the cost of an international call or international data transmission may be higher than the cost of a domestic call or transmission – depending on the tariff adopted by the telecommunications operator or internet service provider used by the Buyer.

§ 3 TECHNICAL REQUIREMENTS

  1. For the proper functioning of the Store, you need:
    • device with Internet access
    • a web browser that supports JavaScript and cookies.
  2. To place an order in the Store, in addition to the requirements specified in paragraph 1, an active e-mail account is required.

§ 4 SHOPPING IN THE STORE

  1. The product prices visible in the Store are the total prices for the product.
  2. The Seller points out that the total price of the order consists of the price for the product indicated in the Store and, if applicable, the costs of delivery of the goods.
  3. The product you have selected for purchase should be added to the shopping cart in the Store.
  4. Then the Buyer selects the method of delivery of the goods and the method of payment for the order from the options available in the Store, and provides the data necessary to complete the placed order.
  5. The order is placed when its content is confirmed and the Regulations are accepted by the Buyer.
  6. Placing an order is equivalent to concluding a contract between the Buyer and the Seller.
  7. The Buyer may register in the Store, i.e. create an Account, or make purchases without registration by providing his/her data with each possible order.

§ 5 PAYMENTS

  1. The following payment methods are available in the Store:
    1. standard transfer to the Seller's bank account;
    2. by payment card:
      • Visa
      • Visa Electron
      • MasterCard
      • MasterCard Electronic
      • Maestro
    3. via the payment platform:
      • Przelewy24
    4. cash on delivery, i.e. by card or cash upon delivery of the goods to the Buyer;
  2. If the Buyer chooses to pay in advance, the order must be paid for within 3 Business Days of placing the order.
  3. By making a purchase in the Store, the Buyer accepts the Seller's use of electronic invoices. The Buyer has the right to withdraw this acceptance.

§ 6 ORDER FULFILLMENT

  1. The order fulfillment deadline is indicated in the Store.
  2. If the Buyer has chosen to pay for the order in advance, the Seller will start processing the order after it has been paid.
  3. If the Buyer has purchased products with different delivery times within one order, the order will be completed within the time appropriate for the product with the longest delivery time.
  4. Countries in which the delivery is made:
    • Poland
    • All Countries of the World
  5. The following delivery methods are available in the Store:
    1. via a courier company;
    2. via the Polish Post;
    3. to InPost parcel lockers.
  6. The Buyer may collect the goods in person at the Collection Point during its opening hours.
  7. If the Buyer chooses personal collection, the goods will be ready for collection on the indicated order completion date.

§ 7 RIGHT OF WITHDRAWAL FROM THE CONTRACT

  1. The privileged buyer has the right to withdraw from the contract concluded with the Seller via the Store, subject to § 8 of the Regulations, within 14 days without giving any reason.
  2. The deadline for withdrawal from the contract expires after 14 days from the date of:
    1. on which the privileged buyer came into possession of the goods or on which a third party other than the carrier and indicated by the privileged buyer came into possession of the goods;
    2. on which the privileged buyer has taken possession of the last goods, batch or part or on which a third party, other than the carrier and indicated by the privileged buyer, has taken possession of the last goods, batch or part in the case of a contract obliging the transfer of ownership of multiple goods that are delivered separately, in batches or in parts.
  3. In order for the privileged Buyer to exercise the right to withdraw from the contract, he must inform the Seller, using the data provided in § 2 of the Regulations, of his decision to withdraw from the contract by means of an unequivocal statement (e.g. a letter sent by post or e-mail).
  4. The privileged buyer may use the model withdrawal form provided at the end of the Regulations, but this is not obligatory.
  5. To meet the withdrawal deadline, it is sufficient for the privileged Buyer to send information regarding the exercise of their right to withdraw from the contract before the withdrawal deadline expires.

    EFFECTS OF WITHDRAWAL FROM THE CONTRACT
  6. In the event of withdrawal from the concluded contract, the Seller shall return to the privileged Buyer all payments received from him, including the costs of delivery of the goods (with the exception of additional costs resulting from the Buyer's choice of a preferred method of delivery other than the cheapest standard method of delivery offered by the Seller), immediately, and in any case no later than 14 days from the day on which the Seller was informed of the decision of the privileged Buyer to exercise the right of withdrawal.
  7. The Seller will refund the payment using the same payment methods that were used by the Privileged Buyer in the original transaction, unless the Privileged Buyer agrees to a different solution; in any case, the Privileged Buyer will not incur any fees in connection with this refund.
  8. If the Seller has not offered to collect the goods from the Privileged Buyer, he may withhold the refund until he receives the goods or until he is provided with proof of their return, whichever comes first.
  9. The Seller requests that the goods be returned to the following address: ul. Posag 7 Panien 18/116, 02-495 Warsaw immediately, and in any event no later than 14 days from the date on which the Privileged Buyer informed the Seller of the withdrawal from the sales contract. The deadline is met if the Privileged Buyer sends the goods back before the expiry of the 14-day period.
  10. The privileged buyer bears the direct costs of returning the goods.
  11. The privileged buyer is only liable for any reduction in the value of the goods resulting from their use in a manner other than necessary to establish the nature, characteristics and functioning of the goods.
  12. If the goods, due to their nature, cannot be returned by standard post, the Preferred Buyer will also have to bear the direct costs of returning the goods. The Preferred Buyer will be informed of the estimated amount of these costs by the Seller in the product description in the Store or when placing the order.
  13. If there is a need to refund funds for a transaction made by a privileged Buyer with a payment card, the Seller will refund the funds to the bank account assigned to that payment card.

§ 8 EXCEPTIONS FROM THE RIGHT OF WITHDRAWAL

  1. The right to withdraw from a distance contract, referred to in § 7 of the Regulations, does not apply to contracts:
    1. where the subject of the provision is non-prefabricated goods, manufactured according to the specifications of the privileged Buyer or serving to satisfy his individual needs;
    2. where the subject of the service is a good that spoils quickly or has a short shelf life;
    3. where the subject of the service is goods delivered in a sealed package which cannot be returned after opening the package due to health protection or hygiene reasons, if the package was opened after delivery;
    4. where the subject of the provision are goods which, due to their nature, are inseparably connected with other things after delivery;
    5. where the subject of the provision are sound or visual recordings or computer programs delivered in a sealed package, if the package was opened after delivery;
    6. for the supply of newspapers, periodicals or magazines, with the exception of subscription agreements;
    7. where the price or remuneration depends on fluctuations in the financial market over which the Seller has no control and which may occur before the deadline for withdrawal from the contract expires.

§ 9 COMPLAINTS

I GENERAL PROVISIONS

  1. The Seller is liable to the Privileged Buyer for the compliance of the performance with the contract, as provided for by generally applicable legal provisions, in particular the provisions of the Consumer Rights Act.
  2. The Seller requests that complaints (including those regarding the operation of the Store) be submitted to the postal or e-mail address indicated in § 2 of the Regulations.
  3. If a warranty has been granted for the product, information about it and its terms is available in the Store.
  4. The Seller will respond to the complaint within 14 days of its receipt.

II. PRIVILEGED BUYERS

  1. Goods
    1. In the event of non-conformity of the goods with the contract, the privileged Buyer may exercise the rights specified in Chapter 5a of the Consumer Rights Act.
    2. The Seller is liable for any lack of conformity of the goods with the contract that exists at the time of delivery and is discovered within two years of that time, unless the expiry date of the goods, as determined by the Seller, its legal predecessors or persons acting on their behalf, is longer.
    3. Pursuant to the provisions of the Consumer Rights Act, in the event of non-compliance with the contract, the privileged Buyer may demand:
      1. exchange of goods,
      2. repair of goods.
    4. Additionally, the privileged buyer may submit a declaration of:
      1. price reduction,
      2. withdrawal from the contract
      in a situation where:
      • The seller refused to bring the goods into conformity with the contract in accordance with Article 43d paragraph 2 of the Consumer Rights Act;
      • The seller has not brought the goods into conformity with the contract in accordance with Article 43d paragraphs 4-6 of the Consumer Rights Act;
      • the lack of conformity of the goods with the contract persists despite the Seller's attempts to bring the goods into conformity with the contract;
      • the lack of conformity of the goods with the contract is so significant that it justifies a price reduction or withdrawal from the contract without prior recourse to the protective measures specified in Article 43d of the Consumer Rights Act;
      • it is clear from the Seller's statement or the circumstances that he will not bring the goods into conformity with the contract within a reasonable time or without excessive inconvenience to the Preferred Buyer.
    5. In the case of goods requiring repair or replacement, the Privileged Buyer must make the goods available to the Seller. The Seller collects the goods from the Privileged Buyer at its own expense.
    6. A privileged buyer cannot withdraw from the contract if the lack of conformity of the goods with the contract is immaterial.
    7. In the event of withdrawal from the contract referred to in this section (concerning goods), the privileged Buyer shall immediately return the goods to the Seller at the Seller's expense, to the following address: ul. Posag 7 Panien 18/116, 02-495 Warsaw. The Seller shall refund the price to the privileged Buyer immediately, no later than within 14 days of receipt of the goods or proof of their return.
    8. The Seller shall return to the Privileged Buyer the amounts due as a result of exercising the right to reduce the price immediately, no later than within 14 days from the date of receipt of the Privileged Buyer's declaration of price reduction.
  2. Out-of-court complaint and redress procedures
    1. The Seller informs the Consumer about the possibility of using out-of-court complaint and redress procedures. The rules for accessing these procedures are available at the offices or on the websites of entities authorized to provide out-of-court dispute resolution. The Consumer may use, among other things:
      • Assistance from the appropriate European Consumer Centre from the European Consumer Centre Network. The centres provide information on consumer rights and help resolve disputes in cross-border purchases. Assistance from European Consumer Centres is generally free of charge. A list of the relevant Consumer Centres for your country can be found at: https://konsument.gov.pl/eck-w-europie/
      • the ODR (Online Dispute Resolution) online platform provided by the European Commission, available at: https://ec.europa.eu/consumers/odr
        - however, the possibility of submitting complaints via the ODR platform expires on 20 March 2025.
      Additionally, in the Republic of Poland you can use the following forms of support:
      • mediation conducted by the relevant Voivodeship Inspectorate of Trade Inspection, to which you should apply for mediation. As a rule, the proceedings are free of charge. A list of inspectorates can be found here: https://uokik.gov.pl/kontakt-kontrola-handlowa
      • assistance from the locally competent permanent consumer arbitration court operating at the Provincial Inspectorate of Trade Inspection, to which an application for consideration of the case before the arbitration court should be submitted. As a rule, the proceedings are free of charge. A list of inspectorates is available at: https://uokik.gov.pl/kontakt-kontrola-handlowa
    2. The previous provision is informative and does not constitute an obligation for the Seller to use extrajudicial dispute resolution methods.
    3. The use of out-of-court complaint and redress procedures is voluntary for both the Seller and the Consumer.
    4. The consumer may also benefit from free assistance from the municipal or district consumer ombudsman.

III BUYERS OTHER THAN PRIVILEGED BUYERS

  1. In the event of a defect in the goods, a Buyer other than a privileged Buyer may file a complaint about the defective goods on the basis of the warranty regulated in the Civil Code.
  2. The Seller is liable under warranty to a Buyer other than the privileged Buyer if a physical defect is discovered before the expiry of two years from the date of delivery of the goods to the Buyer.
  3. According to the Civil Code, a Buyer who is an entrepreneur other than a Privileged Entrepreneur loses his or her warranty rights if he or she fails to inspect the goods within the time and manner customary for goods of this type and fails to promptly notify the Seller of the defect, and if the defect is discovered later, if he or she fails to notify the Seller immediately after discovering it. To meet the above deadline, it is sufficient to send a notification of the defect before its expiry.
  4. By taking advantage of the warranty, a Buyer other than a privileged Buyer may, under the terms set out in the Civil Code:
    1. submit a declaration of price reduction,
    2. in the case of a significant defect - submit a declaration of withdrawal from the contract,
    3. demand the exchange of the goods for those free from defects,
    4. demand removal of the defect.
  5. If it turns out that in order to process the complaint it is necessary to deliver the defective goods to the Seller, the Buyer other than the privileged Buyer is obliged to deliver the goods to the following address: ul. Posag 7 Panien 18/116, 02-495 Warsaw.

§ 10 PERSONAL DATA

  1. The Seller is the controller of personal data provided by the Buyer when using the Store. Detailed information regarding the processing of personal data by the Seller – including other purposes and basis for data processing, as well as data recipients – can be found in the privacy policy available in the Store – due to the principle of transparency, set out in the General Data Protection Regulation of the European Parliament and of the Council (EU) – "GDPR".
  2. The purpose of processing the Buyer's data by the Seller, provided by the Buyer in connection with purchases in the Store, is to fulfill orders. The basis for processing personal data in this case is:
    • a contract or actions taken at the Buyer's request, aimed at concluding it (Article 6, paragraph 1, letter b of the GDPR),
    • the legal obligation incumbent on the Seller, in particular related to accounting and product safety (Article 6, paragraph 1, letter c of the GDPR) and
    • the legitimate interest of the Seller consisting in the processing of data for the purpose of establishing, pursuing or defending possible claims (Article 6, paragraph 1, letter f of the GDPR).
  3. Providing data by the Buyer is voluntary, but necessary to conclude a contract. Failure to provide data will prevent the conclusion of a contract in the Store.
  4. The Buyer's data provided in connection with purchases in the Store will be processed until:
    1. the contract concluded between the Buyer and the Seller will cease to be valid;
    2. the Seller will no longer be under any legal obligation to process the Buyer's data;
    3. the possibility of pursuing claims by the Buyer or the Seller related to the contract concluded by the Store will cease;
    4. the Buyer's objection to the processing of his personal data will be accepted - if the basis for data processing was the Seller's legitimate interest
    – depending on what applies in a given case.
  5. The buyer has the right to request:
    1. access to your personal data,
    2. their corrections,
    3. deletions,
    4. processing restrictions,
    5. transferring data to another administrator
      and the right to:
    6. to object at any time to the processing of data for reasons related to the Buyer's specific situation – to the processing of personal data concerning him/her, based on Article 6(1)(f) of the GDPR (i.e. on the legitimate interests pursued by the Seller).
  6. In order to exercise his rights, the Buyer should contact the Seller using the details from § 2 of the Regulations.
  7. If the Buyer believes that their data is being processed unlawfully, the Buyer may file a complaint with the authority responsible for personal data protection. In Poland, this is the President of the Personal Data Protection Office.

§ 11 DISCLAIMERS

  1. The Buyer is prohibited from providing illegal content.
  2. Each order placed in the Store constitutes a separate agreement and requires separate acceptance of the Regulations. The agreement is concluded for the time and purpose of fulfilling the order.
  3. All contracts concluded on the basis of these Regulations are subject to the provisions of Polish law, subject to paragraph 4.
  4. The choice of Polish law for contracts concluded under these Terms and Conditions with a Consumer does not waive or limit the rights of that Buyer under mandatory provisions of law, which apply to the Consumer in situations where there is no choice of law. This means, in particular, that if national regulations applicable to a given Consumer provide broader protection than that resulting from these Terms and Conditions or Polish law, this broader protection shall apply.
  5. Agreements concluded on the basis of the Regulations are concluded in Polish.
  6. In the event of a dispute with a Buyer who is not a privileged Buyer, related to a contract concluded via the Store, the competent court will be the court having jurisdiction over the Seller's registered office.


Annex No. 1 to the Regulations

At the end of the regulations there is a model withdrawal form which the Consumer or the Privileged Entrepreneur may, but does not have to, use.

Account Terms and Conditions

in the GUILTEESHOP store - exotic pole dance - shoes, ankle boots, accessories

TABLE OF CONTENTS
§ 1 Definitions
§ 2 Contact with the Service Provider
§ 3 Technical requirements
§ 4 Account
§ 5 Complaints
§ 6 Right of withdrawal
§ 7 Personal data
§ 8 Changes to the Regulations or Account
§ 9 Final provisions

§ 1 DEFINITIONS

Consumer – a Service User who is a natural person who has concluded an Account management agreement under the Terms and Conditions or is taking steps to conclude one, without direct connection with his or her business or professional activity.
Account – a digital service within the meaning of the Consumer Rights Act, provided free of charge electronically by the Service Provider to the Service User, thanks to which the Service User can use additional functions in the Store.
Loyalty Program – a loyalty program run by the Service Provider in the Store, under which the Service User who has an Account can obtain and use Points under the terms specified in the Terms and Conditions.
Points – points awarded to the Service User on the terms specified in the Regulations as part of the Loyalty Program, allowing the Service User to purchase products indicated in the Store at a discount.
Privileged Entrepreneur – a Service User who is a natural person concluding an Account management agreement under the Regulations (or taking steps to conclude it), directly related to their business activity, but not of a professional nature.
Regulations – these Account regulations.
Store – GUILTEESHOP online store – exotic pole dance – shoes, ankle boots, accessories, run by the Service Provider at https://guilteeshop.com
Service User – any entity that has concluded an Account management agreement or takes steps to conclude it.
Privileged Service User – a Service User who is a Consumer or a privileged Entrepreneur.
Service Provider - ADRIANNA MALEC, an entrepreneur conducting business activity under the name GuilteeShop Adrianna Malec, entered into the Central Register and Information on Business Activity maintained by the minister responsible for the economy and maintaining the Central Register and Information on Business Activity, NIP 7732446822, REGON no. 389380018, ul. Posag 7 Panien 18/116, 02-495 Warsaw; BDO reg. no. 000586963.
Consumer Rights Act – Polish Act of 30 May 2014 on consumer rights.

§ 2 CONTACT WITH THE SERVICE PROVIDER

  1. Postal address: ul. Posag 7 Panien 18/116, 02-495 Warsaw
  2. E-mail address: mail@guiltee.shop
  3. Phone: 48 692 914 024
  4. The cost of a telephone call or data transmission made by the Service User is based on the basic tariff of the telecommunications operator or internet service provider used by the Service User. The Service Provider notes that the cost of an international call or international data transmission may be higher than the cost of a domestic call or transmission – depending on the tariff adopted by the telecommunications operator or internet service provider used by the Service User.

§ 3 TECHNICAL REQUIREMENTS

  1. For the proper functioning and creation of an Account, you need:
    • active email account,
    • device with Internet access,
    • a web browser that supports JavaScript and cookies.

§ 4 ACCOUNT

  1. Creating an Account is entirely voluntary and depends on the will of the Service User.
  2. The Account provides the Service User with additional options, such as: viewing the history of orders placed by the Service User in the Store, checking the status of the order or independently editing the Service User's data, as well as participating in the Loyalty Program.
  3. To create an Account, please complete the appropriate form in the Store.
  4. When an Account is created, an agreement is concluded for an indefinite period between the Service User and the Service Provider for maintaining the Account on the terms specified in the Regulations.
  5. The Service Provider shall commence the provision of the Account management service in accordance with the terms and conditions specified in the Regulations immediately after concluding the Account management agreement.
  6. The Service User may cancel the Account at any time without incurring any costs.
  7. Deleting your Account will result in the termination of your Account management agreement. In order for the Service Provider to delete your Account, you must send your resignation from your Account to the Service Provider's email address provided in § 2 of the Terms and Conditions, which will result in immediate deletion of your Account and termination of your Account management agreement.

LOYALTY PROGRAM

  1. The loyalty program is intended for Service Users who have an Account. Service Users can only earn and use Points using their Account.
  2. When the Account is created, the Service User becomes a participant in the Loyalty Program and remains so for the duration of the Account management agreement.
  3. For every PLN 100 spent in the Store as part of a single order, the Service Recipient will receive the following number of Points: 5, subject to paragraphs 11 and 12.
  4. The Customer will be entitled to points for an order placed only if the Service Provider enters into a purchase agreement with the Customer for the products specified in the order. Points will be awarded to the Customer automatically upon order completion.
  5. For the purpose of calculating the number of Points awarded for an order, only the funds spent by the Service User on products ordered in the Store without using Points are taken into account, and without taking into account additional costs related to ordering the product, such as delivery costs.
  6. The Points obtained by the Service User constitute one pool.
  7. The current number of Points collected by the Service User will be visible in the Account. The Service Provider may also inform the Service User about a change in the number of Points collected by sending a message to the Service User's email address assigned to their Account.
  8. The Service User may receive a price reduction for a product available in the Store and covered by the Loyalty Program, so that the final price of that product after using Points will be PLN 1. If the Service User decides to use Points, the product price will automatically be reduced to the amount indicated in the previous sentence, once the Points are used.
  9. The number of Points allowing for a price reduction in the manner indicated in the above paragraph is indicated in the Store, next to a given product.
  10. The Service Provider has the right to cancel Points:
    1. charged for orders for which the Service Provider refunded the Customer the money paid for the product; in the case of a privileged Customer, this provision applies only in a situation where the refund was made as a result of the withdrawal from the contract by the privileged Customer under Chapter 4 of the Consumer Rights Act;
    2. awarded despite unsuccessful payment of the order (which does not mean that Points cannot be purchased again as a result of correctly paying for the order).
  11. Cancellation of Points pursuant to the previous provision does not affect Points already used by the Privileged Service User.
  12. Points accumulated in the Loyalty Program may only be used in the manner specified in this section. Points accumulated in the Loyalty Program may not be exchanged for cash, sold, or transferred to third parties.

§ 5 COMPLAINTS

I GENERAL PROVISIONS

  1. The Service Provider requests that complaints regarding the Account be submitted to the postal or e-mail address indicated in § 2 of the Regulations.
  2. The Service Provider will respond to the complaint within 14 days of receiving the complaint.

II PRIVILEGED SERVICE RECIPIENTS

  1. The Service Provider is liable to the Privileged Service User for the compliance of the service with the contract, as provided for by generally applicable legal provisions, in particular the provisions of the Consumer Rights Act.
  2. In the event of improper performance of the Account management agreement by the Service Provider, the privileged Service User may exercise the rights regulated in Chapter 5b of the Consumer Rights Act.
  3. If the Service Provider fails to deliver the digital service, the Privileged Service User may request that the Service Provider deliver it. If, despite this, the Service Provider fails to deliver the digital service immediately or within an additional period expressly agreed upon by the Service Provider and the Privileged Service User, the Privileged Service User may withdraw from the Account agreement.
  4. A privileged Service User may withdraw from the Account management agreement without requesting the provision of a digital service if:
    1. it is clear from the Service Provider's statement or the circumstances that he will not provide the digital service or
    2. The privileged Service User and the Service Provider have agreed, or the circumstances of concluding the Account management agreement clearly indicate, that the specified deadline for delivery of the digital service was of significant importance to the privileged Service User, and the Service Provider did not deliver it within that deadline.
  5. The Service Provider is liable for any lack of compliance with the Account Management Agreement for a digital service provided continuously, which occurred or became apparent at the time when the service was to be provided in accordance with this Agreement.
  6. If a digital service is inconsistent with the Account agreement, the privileged Service User may request that it be brought into compliance with this agreement.
  7. In the event of a non-compliance of the digital service with the Account agreement, the Privileged Service User is obliged to cooperate with the Service Provider, to a reasonable extent and using the least burdensome technical means for them, in order to determine whether the non-compliance of the digital service with the Account agreement is due to the characteristics of the Privileged Service User's digital environment.
  8. Additionally, if the digital service is inconsistent with the Account management agreement, the privileged Service User may submit a declaration of withdrawal from this agreement when:
    1. bringing the digital service into compliance with the Account management agreement is impossible or requires excessive costs pursuant to Article 43m, paragraphs 2 and 3 of the Consumer Rights Act;
    2. The Service Provider has not brought the digital service into compliance with the Account Agreement within a reasonable time from the moment the Service Provider was informed by the Privileged Service User about the lack of compliance with this Agreement, and without excessive inconvenience to the Privileged Service User, taking into account the nature and purpose of this digital service for which it is used;
    3. the lack of compliance of the digital service with the Account management agreement persists, even though the Service Provider has attempted to bring the digital service into compliance with this agreement;
    4. the lack of conformity of the digital service with the Account management agreement is so significant that it justifies withdrawal from the Account management agreement without prior use of the protection measure specified in Article 43m of the Consumer Rights Act (i.e. requesting that the digital service be brought into conformity with the agreement);
    5. it is clear from the Service Provider's statement or the circumstances that he will not bring the digital service into compliance with the Account agreement within a reasonable time or without excessive inconvenience to the Privileged Service User.

III. OUT-OF-COURT METHODS OF SETTLING COMPLAINTS AND SEEKING CLAIMS

  1. The Service Provider informs the Consumer about the possibility of using out-of-court complaint and redress procedures. The rules for accessing these procedures are available at the offices or on the websites of entities authorized to provide out-of-court dispute resolution. Consumers may use, among other things:
    • Assistance from the appropriate European Consumer Centre from the European Consumer Centre Network. The centres provide information on consumer rights and help resolve disputes in cross-border purchases. Assistance from European Consumer Centres is generally free of charge. A list of the relevant Consumer Centres for your country can be found at: https://konsument.gov.pl/eck-w-europie/
    • Online Dispute Resolution (ODR) platform provided by the European Commission, available at: https://ec.europa.eu/consumers/odr
      - however, the possibility of submitting complaints via the ODR platform expires on 20 March 2025.
    Additionally, in the Republic of Poland you can use the following forms of support:
    • mediation conducted by the relevant Voivodeship Inspectorate of Trade Inspection, to which you should apply for mediation. As a rule, the proceedings are free of charge. A list of inspectorates can be found here: https://uokik.gov.pl/kontakt-kontrola-handlowa
    • assistance from the locally competent permanent consumer arbitration court operating at the Provincial Inspectorate of Trade Inspection, to which an application for consideration of the case before the arbitration court should be submitted. As a rule, the proceedings are free of charge. A list of inspectorates is available at: https://uokik.gov.pl/kontakt-kontrola-handlowa
  2. The previous provision is for informational purposes only and does not constitute an obligation for the Service Provider to use out-of-court dispute resolution methods.
  3. The use of out-of-court complaint and redress procedures is voluntary for both the Service Provider and the Consumer.
  4. The consumer may also benefit from free assistance from the municipal or district consumer ombudsman.

§ 6 RIGHT OF WITHDRAWAL FROM THE CONTRACT

  1. A privileged Service User has the right to withdraw from the Account management agreement concluded with the Service Provider within 14 days without giving any reason.
  2. The deadline for withdrawal from the Account management agreement expires after 14 days from the date of conclusion of this agreement.
  3. In order for the privileged Service User to exercise the right to withdraw from the contract, he must inform the Service Provider, using the data provided in § 2 of the Regulations, of his decision to withdraw from the contract by means of an unequivocal statement (e.g. a letter sent by post or e-mail).
  4. The privileged Service User may use the model withdrawal form provided at the end of the Regulations, but this is not obligatory.
  5. In order to meet the withdrawal deadline, it is sufficient for the privileged Service User to send information regarding the exercise of his right to withdraw from the contract before the expiry of the withdrawal deadline.

§ 7 PERSONAL DATA

  1. The Service Provider is the controller of personal data provided by the Service User in connection with the conclusion of the Account agreement. Detailed information regarding the processing of personal data by the Service Provider – including other purposes and basis for data processing, as well as data recipients – can be found in the privacy policy available in the Store – due to the principle of transparency contained in the General Data Protection Regulation of the European Parliament and of the Council (EU) – "GDPR".
  2. The purpose of processing the Service User's data is to maintain the Account. The basis for personal data processing in this case is the Account agreement or actions taken at the Service User's request to conclude it (Article 6, paragraph 1, letter b of the GDPR), as well as the Service Provider's legitimate interest in processing data for the purpose of establishing, pursuing, or defending potential claims (Article 6, paragraph 1, letter f of the GDPR).
  3. Providing data by the Service User is voluntary, but necessary to conclude the Account management agreement and provide the services covered by it. Failure to provide data means that the Account management agreement cannot be concluded and the Service Provider will not be able to provide the services covered by it.
  4. The Service Recipient's data will be processed until:
    1. the Account management agreement will cease to apply;
    2. the possibility of pursuing claims by the Service User or Service Provider related to the Account will cease;
    3. the Service Recipient's objection to the processing of his/her personal data will be accepted - if the basis for data processing was the Service Provider's legitimate interest
    – depending on what applies in a given case.
  5. The Service Recipient has the right to request:
    1. access to your personal data,
    2. their corrections,
    3. deletions,
    4. processing restrictions,
    5. transferring data to another administrator
      and the right to:
    6. to object at any time to the processing of data for reasons related to the specific situation of the Service Recipient – to the processing of personal data concerning him/her, based on Article 6(1)(f) of the GDPR (i.e. on the legitimate interests pursued by the Service Provider).
  6. In order to exercise their rights, the Service User should contact the Service Provider.
  7. If the Service User believes that their data is being processed unlawfully, the Service User may file a complaint with the authority responsible for personal data protection. In Poland, this is the President of the Personal Data Protection Office.

§ 8 CHANGES TO THE REGULATIONS OR ACCOUNT

  1. The Service Provider reserves the right to amend the Regulations only for important reasons. An important reason is understood as the need to amend the Regulations due to:
    1. change in the functionality of the Account, requiring modification of the Regulations or
    2. changes in legal provisions affecting the performance of the Account management agreement by the Service Provider or the adaptation of services to recommendations, guidelines, orders or prohibitions, rulings, resolutions, interpretations or decisions of authorized public authorities or
    3. change in the contact or identification details of the Service Provider.
  2. Information about planned changes to the Regulations will be sent to the Service User's e-mail address assigned to the Account at least one month before the changes come into effect.
  3. If the Service Recipient does not object to the planned changes before they come into force, it is assumed that he accepts them, which does not constitute any obstacle to terminating the contract in the future.
  4. In the event of non-acceptance of the planned changes, the Service User should send information about this to the Service Provider's e-mail address provided in § 2 of the Regulations, which will result in termination of the Account management agreement upon entry into force of the planned changes.
  5. The Service Provider may make changes to the Account that are not necessary to maintain its compliance with the Account Agreement, for the reason indicated in paragraph 1 letter b or due to a change in the Account's functionality. Introducing the change referred to in the preceding sentence will not involve any costs for the Privileged Service User. The provisions of paragraphs 2-4 shall apply accordingly.
  6. If the change referred to in paragraph 5 significantly and negatively affects the access of the Privileged Service User to the Account or its use, the Service Provider will send to the Privileged Service User's e-mail address, in due advance, on a durable medium, information about the characteristics and date of this change and the rights of the Privileged Service User in connection with this change.

§ 9 FINAL PROVISIONS

  1. The Service User is prohibited from providing illegal content.
  2. The Account Management Agreement is concluded in Polish.
  3. The contract concluded on the basis of these Regulations is subject to the provisions of Polish law, subject to paragraph 4.
  4. The choice of Polish law for an agreement concluded with a Consumer under these Terms and Conditions does not waive or limit the Consumer's rights under mandatory provisions of law, which apply to the Consumer in a situation where there is no choice of law. This means, in particular, that if national provisions applicable to a given Consumer provide broader protection than that resulting from these Terms and Conditions or Polish law, this broader protection shall apply.
  5. The Store's regulations apply to orders placed in the Store using Points.
  6. In the event of a dispute with a Service User who is not a privileged Service User, related to the Account management agreement, the competent court will be the court having jurisdiction over the registered office of the Service Provider.

 

Newsletter Regulations

in the GUILTEESHOP store - exotic pole dance - shoes, ankle boots, accessories

TABLE OF CONTENTS
§ 1 Definitions
§ 2 Contact with the Service Provider
§ 3 Technical requirements
§ 4 Agreement
§ 5 Complaints
§ 6 Right of withdrawal
§ 7 Personal data
§ 8 Changes to the Regulations or Newsletter
§ 9 Final provisions

§ 1 DEFINITIONS

Consumer – a Service User who is a natural person who has concluded an Agreement or is taking steps to conclude it, without direct connection with his/her business or professional activity.
Newsletter – news regarding the Store, including information about offers, promotions and new products in the Store, provided free of charge to the Service User by the Service Provider under the Agreement, constituting digital content within the meaning of the Consumer Rights Act.
Privileged Entrepreneur – a Service User who is a natural person concluding an Agreement (or taking steps to conclude it), directly related to his/her business activity, but not of a professional nature.
Regulations – these regulations.
Store – GUILTEESHOP online store - exotic pole dance - shoes, ankle boots, accessories run by the Service Provider at https://guilteeshop.com.
Agreement – agreement for the provision of the Newsletter.
Service Recipient – any entity that has concluded the Agreement or is taking steps to conclude it.
Service Recipient privileged  – Service recipient who is a Consumer or a privileged Entrepreneur .
Service Provider – ADRIANNA MALEC, an entrepreneur conducting business activity under the name GuilteeShop Adrianna Malec, entered into the Central Register and Information on Business Activity maintained by the minister responsible for the economy and maintaining the Central Register and Information on Business Activity, NIP 7732446822, REGON number 389380018, ul. Posag 7 Panien 18/116, 02-495 Warsaw; BDO registration number 000586963.
Act on Consumer Rights – Polish Act of 30 May 2014 on Consumer Rights.

§ 2 CONTACT WITH THE SERVICE PROVIDER

  1. Postal address: ul. Posag 7 Panien 18/116, 02-495 Warsaw
  2. E-mail address: mail@guiltee.shop
  3. Phone: 48 692 914 024
  4. The cost of a telephone call or data transmission made by the Service User is based on the basic tariff of the telecommunications operator or internet service provider used by the Service User. The Service Provider notes that the cost of an international call or international data transmission may be higher than the cost of a domestic call or transmission – depending on the tariff adopted by the telecommunications operator or internet service provider used by the Service User.

§ 3 TECHNICAL REQUIREMENTS

  1. To use the digital content covered by the Regulations, you need:
    • active email account;
    • device with Internet access;
    • a web browser that supports JavaScript and cookies.

§ 4 AGREEMENT

  1. The Service User may voluntarily subscribe to the Newsletter.
  2. In order to receive the Newsletter, it is necessary to conclude an Agreement.
  3. E-mails sent under the Agreement will be sent to the e-mail address provided by the Service User at the time of concluding the Agreement.
  4. To conclude the Agreement, the Service User first provides their email address in the designated area of the Store to which they wish to receive messages sent under the Agreement. Upon signing up for the Newsletter, the Agreement is concluded for an indefinite period, and the Service Provider will begin providing the Agreement to the Service User – subject to paragraph 5.
  5. For the proper execution of the Agreement, the Service Recipient is obliged to provide his/her correct e-mail address.
  6. The Newsletter is delivered immediately after the Service Provider creates the message intended for Service Users.
  7. Messages sent as part of the Newsletter will include information on how to unsubscribe, as well as a link to unsubscribe.
  8. The Service User may unsubscribe from the Newsletter without giving any reason and incurring any costs, at any time, using the option referred to in the previous provision, or by sending a message to the Service Provider's e-mail address provided in § 2 of the Regulations.
  9. Using the link to unsubscribe from the Newsletter or sending a message requesting unsubscription from the Newsletter will result in immediate termination of the Agreement.

§ 5 COMPLAINTS

I GENERAL PROVISIONS

  1. The Service Provider requests that complaints regarding digital content covered by the Regulations be submitted to the postal or electronic address indicated in § 2 of the Regulations.
  2. The Service Provider will respond to the complaint within 14 days of receiving the complaint.

II PRIVILEGED SERVICE RECIPIENTS

  1. The Service Provider is liable to the Privileged Service User for the compliance of the provision with the Agreement, as provided for by generally applicable legal provisions, in particular the provisions of the Consumer Rights Act.
  2. In the event of improper performance of the Agreement by the Service Provider, the privileged Service User may exercise the rights regulated in Chapter 5b of the Consumer Rights Act.
  3. If the Service Provider fails to deliver the digital content covered by the Agreement, the Privileged Service User may request that the Service Provider deliver it. If, despite this, the Service Provider fails to deliver the digital content covered by the Agreement immediately or within an additional period expressly agreed upon by the Privileged Service User and the Service Provider, the Privileged Service User may withdraw from the Agreement.
  4. The privileged Service User may withdraw from the Agreement without being requested to deliver the digital content covered by the Agreement if:
    • it is clear from the Service Provider's statement or circumstances that he will not provide the digital content covered by the Agreement or
    • The privileged Service User and the Service Provider have agreed, or the circumstances of concluding the Agreement clearly indicate, that the specified deadline for delivery of the digital content covered by the Agreement was of significant importance to the privileged Service User, and the Service Provider did not deliver it within that deadline.
  5. The Service Provider is liable for any non-compliance of the Newsletter with the Agreement, which – due to the fact that the Newsletter is delivered continuously – occurred or became apparent at the time when it was to be delivered in accordance with this Agreement.
  6. If the digital content covered by the Regulations is inconsistent with the Agreement, the privileged Service User may request that it be brought into compliance with the Agreement.
  7. In the event of non-compliance with the Agreement of digital content covered by the Regulations, the Privileged Service User is obliged to cooperate with the Service Provider, to a reasonable extent and using the least burdensome technical means for him, in order to determine in a timely manner whether the non-compliance with the Agreement results from the characteristics of the Privileged Service User's digital environment.
  8. Additionally, if the digital content covered by the Regulations is inconsistent with the Agreement, the privileged Service User may submit a declaration of withdrawal from the Agreement when:
    • bringing the digital content into conformity with the Agreement is impossible or requires excessive costs pursuant to Article 43m, paragraphs 2 and 3 of the Consumer Rights Act;
    • The Service Provider has not brought the digital content covered by the Regulations into compliance with the Agreement within a reasonable time from the moment the Service Provider was informed by the Privileged Service User about the lack of compliance with the Agreement, and without excessive inconvenience to the Privileged Service User, taking into account its nature and the purpose for which it is used;
    • the lack of compliance with the Agreement of the digital content covered by the Regulations persists, even though the Service Provider has attempted to bring it into compliance with the Agreement;
    • the lack of conformity with the Agreement of the digital content covered by the Regulations is so significant that it justifies withdrawal from the Agreement without prior recourse to the protection measure specified in Article 43m of the Consumer Rights Act (i.e. the demand to bring the digital content into conformity with the Agreement);
    • it is clear from the Service Provider's statement or the circumstances that he will not bring the digital content covered by the Regulations into compliance with the Agreement within a reasonable time or without excessive inconvenience to the Privileged Service User.

III. OUT-OF-COURT METHODS OF SETTLING COMPLAINTS AND SEEKING CLAIMS

  1. The Service Provider informs the Consumer about the possibility of using out-of-court complaint and redress procedures. The rules for accessing these procedures are available at the offices or on the websites of entities authorized to provide out-of-court dispute resolution. Consumers may use, among other things:
    • Assistance from the appropriate European Consumer Centre from the European Consumer Centre Network. The centres provide information on consumer rights and help resolve disputes in cross-border purchases. Assistance from European Consumer Centres is generally free of charge. A list of the relevant Consumer Centres for your country can be found at: https://konsument.gov.pl/eck-w-europie/
    • Online Dispute Resolution (ODR) platform provided by the European Commission, available at: https://ec.europa.eu/consumers/odr
      - however, the possibility of submitting complaints via the ODR platform expires on 20 March 2025.
    Additionally, in the Republic of Poland you can use the following forms of support:
    • mediation conducted by the relevant Voivodeship Inspectorate of Trade Inspection, to which you should apply for mediation. As a rule, the proceedings are free of charge. A list of inspectorates can be found here: https://uokik.gov.pl/kontakt-kontrola-handlowa
    • assistance from the locally competent permanent consumer arbitration court operating at the Provincial Inspectorate of Trade Inspection, to which an application for consideration of the case before the arbitration court should be submitted. As a rule, the proceedings are free of charge. A list of inspectorates is available at: https://uokik.gov.pl/kontakt-kontrola-handlowa
  2. The previous provision is for informational purposes only and does not constitute an obligation for the Service Provider to use out-of-court dispute resolution methods.
  3. The use of out-of-court complaint and redress procedures is voluntary for both the Service Provider and the Consumer.
  4. The consumer may also benefit from free assistance from the municipal or district consumer ombudsman.

§ 6 RIGHT OF WITHDRAWAL FROM THE CONTRACT

  1. A privileged Service User has the right to withdraw from the Agreement concluded with the Service Provider within 14 days without giving any reason.
  2. The deadline for withdrawal from the Agreement expires after 14 days from the date of conclusion of this Agreement.
  3. In order for the privileged Service User to exercise the right to withdraw from the Agreement, he/she must inform the Service Provider, using the data provided in § 2 of the Regulations, of his/her decision to withdraw from the Agreement by means of an unequivocal statement (e.g. a letter sent by post or e-mail).
  4. The privileged Service User may use the model withdrawal form provided at the end of the Regulations, but this is not obligatory.
  5. In order to meet the withdrawal deadline, it is sufficient for the privileged Service User to send information regarding the exercise of his right to withdraw from the Contract before the expiry of the withdrawal deadline.

§ 7 PERSONAL DATA

  1. The Service Provider is the controller of personal data provided by the Service User in connection with the Agreement. Detailed information regarding the processing of personal data by the Service Provider – including other purposes and basis for data processing, as well as data recipients – can be found in the privacy policy available in the Store – due to the principle of transparency contained in the General Data Protection Regulation of the European Parliament and of the Council (EU) – "GDPR".
  2. The purpose of processing the Service Recipient's data is:
    • performance of the Agreement; the basis for the processing of personal data in this case is the Agreement or actions taken at the request of the Service Recipient, aimed at concluding it (Article 6, paragraph 1, letter b of the GDPR);
    • analysis of the effectiveness of messages sent under the Agreement, in order to establish general principles for effective sending in the Service Provider's activities; the basis for the processing of personal data for this purpose is the legitimate interest of the Service Provider (Article 6, paragraph 1, letter f of the GDPR);
    • establishing, pursuing or defending any claims related to the Agreement; the basis for the processing of personal data for this purpose is the legitimate interest of the Service Provider (Article 6, paragraph 1, letter f of the GDPR).
  3. Providing data by the Service User is voluntary, but necessary to conclude the Agreement and deliver the digital content covered by it. Failure to provide data will result in the Agreement not being able to be concluded, and the Service Provider will not deliver the digital content covered by it.
  4. The Service Recipient's data will be processed until:
    1. the Agreement will cease to apply;
    2. the possibility of pursuing claims by the Service User or the Service Provider related to the Agreement will cease;
    3. the Service Recipient's objection to the processing of his/her personal data will be accepted - if the basis for data processing was the Service Provider's legitimate interest
    – depending on what applies in a given case.
  5. The Service Recipient has the right to request:
    1. access to your personal data,
    2. their corrections,
    3. deletions,
    4. processing restrictions,
    5. transferring data to another administrator
      and the right to:
    6. to object at any time to the processing of data for reasons related to the specific situation of the Service Recipient – to the processing of personal data concerning him/her, based on Article 6(1)(f) of the GDPR (i.e. on the legitimate interests pursued by the Service Provider).
  6. In order to exercise their rights, the Service User should contact the Service Provider.
  7. If the Service User believes that their data is being processed unlawfully, the Service User may file a complaint with the authority responsible for personal data protection. In Poland, this is the President of the Personal Data Protection Office.

§ 8 CHANGES TO THE REGULATIONS OR NEWSLETTER

  1. The Service Provider reserves the right to amend the Regulations only for important reasons. An important reason is understood as the need to amend the Regulations due to:
    1. change in the functionality of the Newsletter, requiring modification of the Regulations or
    2. changes in legal provisions affecting the performance of the Agreement by the Service Provider or adapting the services to recommendations, guidelines, orders or prohibitions, rulings, resolutions, interpretations or decisions of authorized public authorities or
    3. change in the contact or identification details of the Service Provider.
  2. Information about the planned changes to the Regulations will be sent to the e-mail address of the Service Recipient provided at the time of conclusion of the Agreement at least 7 days before the changes come into effect.
  3. If the Service Recipient does not object to the planned changes before they enter into force, it is assumed that he accepts them, which does not constitute any obstacle to terminating the Agreement in the future.
  4. In the event of non-acceptance of the planned changes, the Service Recipient should send information about this to the Service Provider's e-mail address provided in § 2 of the Regulations, which will result in termination of the Agreement upon entry into force of the planned changes.
  5. The Service Provider may make changes to the Newsletter that are not necessary to maintain its compliance with the Agreement, for the reasons indicated in paragraph 1 letter b or due to a change in the functionality of the Newsletter. Introducing the change referred to in the preceding sentence will not involve any costs for the Privileged Service User. The provisions of paragraphs 2-4 shall apply accordingly.
  6. If the change referred to in the previous provision significantly and negatively affects the access of the Privileged Service User to the Newsletter or its use, the Service Provider will send to the Privileged Service User's e-mail address in due advance, on a durable medium, information about the characteristics and date of this change and the rights of the Privileged Service User in connection with this change.

§ 9 FINAL PROVISIONS

  1. The Service User is prohibited from providing illegal content.
  2. The contract is concluded in Polish.
  3. The contract concluded on the basis of these Regulations is subject to the provisions of Polish law, subject to paragraph 4.
  4. The choice of Polish law for an Agreement concluded with a Consumer under these Terms and Conditions does not waive or limit the Consumer's rights under mandatory provisions of law that apply to that Consumer in a situation where there is no choice of law. This means, in particular, that if national provisions applicable to a given Consumer provide broader protection than that resulting from these Terms and Conditions or Polish law, this broader protection shall apply.
  5. In the event of a dispute with a Service Recipient who is not a privileged Service Recipient, related to the Agreement, the competent court will be the court having jurisdiction over the registered office of the Service Provider.

Appendix No. 1 to the Regulations

Below is a sample withdrawal form that the Consumer or the Privileged Entrepreneur may, but does not have to, use:

SAMPLE WITHDRAWAL FORM
(this form should be completed and returned only if you wish to withdraw from the contract)

GuilteeShop Adrianna Malec
ul. Posag 7 Panien 18/116, 02-495 Warsaw
e-mail address: mail@guiltee.shop

- I/We(*) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . hereby give notice of my/our withdrawal from the contract for the provision of the following service(*) / for the supply of digital content in the form of(*):

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

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

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

- Date of conclusion of the contract(*)

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

- Name and surname of the Consumer(s) / Privileged Entrepreneur(s):

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

- Address of the Consumer(s) / Privileged Entrepreneur(s):

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

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

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Signature of Consumer(s) / Privileged Entrepreneur(s)
(only if the form is sent in paper version)

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

(*) Delete where not applicable.