This website page (together with the documents referred to on it) tells you the terms and conditions (“Terms”) on which we, Flooring Megastore Limited, supply any of the products (“Products”) listed on our website https://www.flooringmegastore.co.uk (“our website”) to you and when a contract between us comes into existence. For the avoidance of doubt please note that there is no contract between us in existence until we serve an Order Acceptance in accordance with clause 4.
Please read these Terms carefully and make sure that you understand them before ordering any Products from our website. You should understand that by ordering any of our Products, you agree to be bound by these Terms.
You should print a copy of these Terms for your future reference.
Please click on the button marked "I Accept" at the end of these Terms if you accept them and they shall form part of the contract between us when we send you an Order Acceptance.
Please understand that if you refuse to accept these Terms you will not be able to order any Products from our website.
1. Information about us
We operate the website https://www.flooringmegastore.co.uk We are Flooring Megastore Limited, a company registered in England and Wales under company number 06414910 and with our registered office and trading address is Unit 9 Access 4.20, New Hythe Business Park, Bellingham Way, Aylesford, Kent. ME20 7HP. Our VAT number is 943 3529 17.
2. Service availability
We do not accept orders online from addresses outside the United Kingdom and Channel Islands. However, if you are located outside of these territories please contact us and we shall endeavour to accommodate your requirements. Any sales to outside such territories may be subject to additional terms, conditions and charges.
3. Your status
3.1 By placing an order through our website, you warrant that:
i) you are legally capable of entering into binding contracts; and
ii) you are at least 18 years old.
3.2 In some areas you will have different rights under these Terms depending on whether you are a business or consumer. You are a consumer if:
(a) You are an individual.
(b) You are buying Products from us wholly or mainly for your personal use (not for use in connection with your trade, business, craft or profession).
4. How the contract is formed between you and us
4.1 After placing an order, you will immediately receive an automatically generated e-mail order acknowledgement from us acknowledging that we have received your order (“Order Acknowledgement”). Please note that this does not mean that your order has been accepted, nor that a contract for the sale of Products exists. Your order constitutes an offer to us from you to buy a Product from us. All orders are subject to later final acceptance by us and we will confirm such acceptance to you after your payment has cleared by sending you an acceptance e-mail that confirms that the Product has been processed, along with an estimated delivery date to you (“Order Acceptance”). The contract between us (“Contract”) will only be formed when we send you the Order Acceptance and these Terms will be incorporated into the Contract.
4.2 The Contract will be in place between us relating only to those Products the dispatch of which we have confirmed in the Order Acceptance email and no other. We will not be obliged to supply any other Products which may have been part of your initial order until the acceptance of such Products has been confirmed in a separate Order Acceptance email from us. When we dispatch Products we shall send you a “Dispatch Confirmation”.
5. Our Products
5.1 The images of the Products on our website are for illustrative purposes only. Although we have made every effort to display the colours accurately, we cannot guarantee that a device's display of the colours accurately reflects the colour of the Products. Your Product may vary slightly from those images and we therefore cannot be held responsible for any differences in shade, no matter how great or small. If you are in any doubt about the colour you see online, we urge you to order a sample prior to placing an ordering, to make certain the colour meets your requirements.
5.2 If we are making the Product to measurements you have given us you are responsible for ensuring that these measurements are correct. You can find information and tips on how to measure by going here: https://flooringmegastore.co.uk/handy-stuff/a-step... or by contacting us.
6. Consumer rights
6.1 If you are contracting with us as a consumer, you may cancel a Contract at any time within 14 working days, after the day after you received our Order Acceptance email (not the Order Acknowledgement) subject to the terms of clauses 6.3 to 6.9 inclusive. In this case, you will receive a full refund of the price paid for the Products in accordance with our refunds policy (set out in clause 10 below) provided that you comply with clauses 6.2 and 6.3.
6.2 To cancel a Contract, you must inform us clearly in writing. You may use the attached statutory form but it is not obligatory. You must also return the Products to us in suitable packaging as soon as reasonably practicable (and certainly within 7 days of the cancellation), and at your own cost. We shall inspect and check your returned Products to assess their condition. You have a legal obligation to take reasonable care of the Products and not use or soil them while they are in your possession. If you fail to comply with this obligation, we may have the right to refuse to refund or have a right of action against you for compensation. After we have inspected your return we shall action a refund if appropriate to you within 14 days. Please allow a few additional days for the merchant bankers to clear the refund.
6.3 We can only accept cancellation of a Contract that contains carpet if the length of the carpet is greater than the width. Such carpets will be subject to a re-stocking charge of up to 50% depending on the particular manufacturer’s terms and conditions. If your carpet order is shorter in length than the width, or if your required shape and cut of the carpet is not square or rectangular or is a unique shape specified by you then your order is agreed to be unique, specific, bespoke and clearly personalised to you. Sheet vinyl products can only be returned if the piece in question is of over 20 square metres. Some manufacturers exclude this policy on carpets available in 1.00m, 2.50 and 3.00m wide variants; please contact us to confirm if this applies.
6.4 For the purposes of law such Products as described to have been made to your specification and clearly personalised to you. Consequently, your statutory rights at law to cancel do not apply but we will consider accepting such cancellation but with 50% refund only (but without being bound to do so). Where your order is specific to you and clearly personalised to you, we shall state so in the Order Acknowledgement.
6.5 Any carpet that has a length smaller than its width cannot be returned at all. This is standard practice in the flooring trade.
6.6 For all boxed items, such as wood flooring, laminate flooring, carpet tiles, luxury vinyl tiles etc, goods can be cancelled and returned, however, the boxes must remain fully intact and must not be damaged. A handling/re stocking charge with manufacturer will apply at 25% the value of your order.
6.7 Details of your statutory right of cancellation, and an explanation of how to exercise it, are also provided in the Dispatch Confirmation. This provision does not affect your other statutory rights as a consumer.
6.8 Any refund will be less any loss in value of the Product supplied through unnecessary use or handling by you. We can withhold the refund until we have the Products back.
6.9 If you are contracting with us not as a consumer, clauses 6.1 to 6.7 shall not apply. No refunds shall be due except in the event of our breach of Contract in not supplying materially what was ordered and is the subject matter of the Order Acceptance; and any refund will be subject to normal deductions arising from use, handling by you or other diminution in the Products’ value caused by you.
7. Availability and delivery
7.1 All orders are subject to acceptance and availability. If the Products you have ordered are not available from stock, we will contact you by email or phone (if you have given us details). You will have the option either to wait until the item is available from stock or to cancel your order.
7.2 The costs of delivery will be as displayed to you on our website.
7.3 We are only able to deliver to addresses within the United Kingdom and the Channel Isles. Please note that delivery to the Scottish Isles, Highlands, Industrial Scotland, Northern Ireland, the Channel Islands, Cornwall, Scilly Isles, Dyfed, Powys, Gwynedd, Anglesey, Isle of Wight, the Isle of Man, Powys and the Scottish Highlands incur a supplementary delivery charge. Please contact us by visiting here: https://flooringmegastore.co.uk/contact or by visiting here: https://flooringmegastore.co.uk/delivery-information/
7.4 We will deliver the Products to the address you specify for delivery in your order. It is important that this address is accurate. Please be precise about where you would like the Products left if you are out when we deliver. We cannot accept any liability for any loss or damage to the Products once they have been delivered in accordance with your delivery instructions (unless this is caused by our negligence). Your order will be fulfilled by the delivery date set out in the Dispatch Confirmation or, if no delivery date is specified, then within a reasonable time of the date of the Dispatch Confirmation unless there are exceptional circumstances which are beyond our reasonable control. If our supply of the Products is delayed by an event outside our control then we will contact you as soon as possible to let you know and we will take steps to minimise the effect of the delay. Time of delivery is not of the essence.
7.5 All deliveries must be fully inspected for any delivery damages before signing for their receipt, signing appropriately thereafter. Any claims for damaged goods in transit can only be considered if they have been signed for as such.
7.6 We respectfully point out that our deliveries are made by just the driver. The driver, although willing, can only deliver your goods "kerbside" for insurance purposes. It is the purchaser's responsibility to ensure someone is there to unload their ordered goods.
7.7 If no one is available at your address to take delivery and the Products cannot be posted through your letterbox, we will leave you a note informing you of how to rearrange delivery.
7.8 Any failed deliveries will attract a failed delivery charge before the goods are re-despatched. This is at a cost of 0.50p per KG. If, after a failed delivery to you, you do not re-arrange delivery, we will contact you for further instructions and may charge you for storage fees and possible further associated administration costs. If, despite our reasonable efforts, we are unable to contact you or re-arrange delivery or collection we may end the Contract.
8. Risk and title
8.1 The Products will be your responsibility and at your risk from the time of delivery.
8.2 Ownership of the Products will only pass to you when we have received full payment of all sums due in respect of the Products, including delivery charges and when the Products are delivered. Until then we retain ownership.
9. Price and payment
9.1 The price of the Products and our delivery charges will be as quoted on our website from time to time, except in cases of obvious error. They will be confirmed in our Order Acknowledgement and in the Order Acceptance.
9.2 Product prices quoted on our website show both including and excluding VAT only. VAT will be applied at the checkout, which please note is before a Contract is formed. Should the rate of VAT change between the date of your order and the date of delivery, we will adjust the VAT you pay, unless you have already paid for the Products in full before the change in VAT takes effect.
9.3 Product prices and delivery charges are liable to change at any time, but changes will not affect orders in respect of which we have already sent you an Order Acceptance.
9.4 Our website contains a large number of Products and it is always possible that, despite our best efforts, some of the Products listed on our website may be incorrectly priced. We will normally verify prices as part of our dispatch procedures so that, where a Product's correct price is less than our stated price, we will charge the lower amount when dispatching the Product to you. If a Product’s correct price is higher than the price stated on our website, we will normally, at our discretion, either contact you for instructions before the Order Acknowledgement and before the Contract is formed, or reject your order and notify you that we are rejecting it.
9.5 If the pricing error is obvious and unmistakable and could have reasonably recognised by you as an error in the Contract, we do not have to provide the Products to you at the incorrect (lower) price and will charge the correct, higher price which you will accept.
9.6 Payment for all Products is in advance and an Order Acceptance (and our Contract) only comes into effect and is issued after we have received full clear funds and have confirmed availability of your chosen Products. Payment must be by credit or debit card. We accept payment with Visa credit and debit cards, Visa Electron, MasterCard credit and debit, Maestro/Solo, Maestro International, Master Card Signia & World, JCB, Visa Commercial & Visa Personal Debit Card International (and we reserve the right to vary this list at any time).
10. Our refunds and complaints policy
10.1 If you return a Product to us:
(a) because you have cancelled the Contract between us within the 14-day cooling-off period (see clause 6 above), we will process the refund due to you as soon as possible and, in any case, within 14 days of the day on which you gave us notice of cancellation. In this case, we will refund in accordance with clause 6, if appropriate. However, you will be responsible for organising the return of the Products as well as bearing the cost of their return;
(b) for any other reason (for instance, you consider that the Product is defective), we will examine the returned Product and will notify you of your refund via e-mail within a reasonable period of time. We will usually process the refund due to you as soon as possible and, in any case, within 14 days of the day we confirmed to you via e-mail that you were entitled to a refund. We will refund the price of a defective Product in full, any applicable delivery charges and any reasonable costs you incur in returning the item to us.
10.2 We will refund any money received from you using the same method originally used by you to pay for your purchase.
10.3 Items featured in our "Sale" section are not able to be returned once we have emailed our "Order Acceptance" to the purchaser unless there is found to be a manufacturing defect.
10.4 All items should be checked for faults prior to installation, any Products found to be faulty after they have been installed will be the responsibility of the customer.
10.5 Complaints should be addressed to the Commercial Manager, Flooring Megastore Limited at the address given in clause 1.
11.1We warrant to you that any Product purchased from us through our website will, on delivery, conform with its description, be of satisfactory quality, and be reasonably fit for the purpose for which products of that kind are commonly supplied.
11.2 If you are a consumer we are under a legal duty to supply Products that are in conformity with this Contract. Nothing in these terms will affect your legal rights.
12. Data protection and security
12.1 For the purposes of this clause, “Data Protection Legislation” means all applicable privacy and data protection laws including the General Data Protection Regulation ((EU) 2016/679) (”GDPR”) and any applicable national implementing laws, regulations and secondary legislation in England and Wales relating to the processing of personal data and the privacy of electronic communications, as amended, replaced or updated from time to time, including the Privacy and Electronic Communications Directive (2002/58/EC) and the Privacy and Electronic Communications (EC Directive) Regulations 2003 (SI 2003/2426).
12.3 The terms “data subject”, "data controller", "data processor", "processing", “personal data” and “special categories of personal data” bear the respective meanings given them in the Data Protection Legislation.
12.4 We shall both comply with all applicable requirements of the Data Protection Legislation. This clause is in addition to, and does not relieve, remove or replace, either of our obligations under the Data Protection Legislation (“the General Obligations”).
12.5 Without prejudice to the General Obligations, if we process any personal data on your behalf when performing our obligations under this Contract, we record our intention that you shall be the data controller and we shall be a data processor.
12.6 Without prejudice to the General Obligations:
(a)you shall ensure that you have all necessary appropriate consents and notices in place as required by the Data Protection Legislation to enable the lawful transfer of personal data to us and third parties that we work with to provide the Products for the duration and purposes of this Contract, so that we and the third parties we work with may lawfully use, process, store and transfer the personal data in accordance with this Contract on your behalf; and
(b)you acknowledge that the processing, transferring and storage of your personal data is necessary to enable us to provide the Products in accordance with this Contract.
12.7 Without prejudice to the General Obligations, we shall in relation to any personal data processed in connection with the performance by us of our obligations under this Contract:
(a) process that personal data only on your written instructions, unless we are required by the laws of any member of the European Union or by the laws of the European Union applicable to us to process personal data (“Applicable Laws”). Where we are relying on laws of a member of the European Union or European Union law as the basis for processing personal data, we shall promptly notify you of this before performing the processing required by the Applicable Laws unless those Applicable Laws prohibit us from so notifying you;
(b) shall only transfer any personal data outside of the European Economic Area under the following conditions:
(i) we are processing personal data in a territory which is subject to a current finding by the European Commission under the Data Protection Legislation that the territory provides adequate protection for the privacy rights of individuals; or
(ii) we participate in a valid cross-border transfer mechanism under the Data Protection Legislation, so that we (and, where appropriate, you) can ensure that appropriate safeguards are in place to ensure an adequate level of protection with respect to the privacy rights of individuals as required by Article 46 of the GDPR; or
(iii) the transfer otherwise complies with the Data Protection Legislation;
(c) ensure that we have in place appropriate technical and organisational measures, to protect against unauthorised or unlawful processing of personal data and against accidental loss or destruction of, or damage to, personal data, appropriate to the harm that might result from the unauthorised or unlawful processing or accidental loss, destruction or damage and the nature of the data to be protected, having regard to the state of technological development and the cost of implementing any measures (those measures may include, where appropriate, pseudonymising and encrypting personal data, ensuring confidentiality, integrity, availability and resilience of its systems and services, ensuring that availability of and access to personal data can be restored in a timely manner after an incident, and regularly assessing and evaluating the effectiveness of the technical and organisational measures adopted by us);
(d) ensure that access to your data to meet our obligations under this Contract is limited to those personnel or authorised sub contractors who need access to and/or process personal data to meet our obligations under this Contract and that such personnel or authorised sub contractors are obliged to keep the personal data confidential;
(e) ensure that all personnel or authorised sub contractors who have access to and/or process personal data do so only in accordance with the instructions from you for such processing;
(f) assist you in responding to any request from a data subject and in ensuring compliance with your obligations under the Data Protection Legislation with respect to security, breach notifications, impact assessments and consultations with supervisory authorities or regulators;
(g) allow for and contribute to audits, including, inspections, conducted by you or another auditor mandated by you regarding compliance with the Data Protection Legislation;
(h) notify you without undue delay on becoming aware of a personal data breach;
(i) at your written direction, delete or return personal data and copies thereof to you on termination of this Contract unless required by Applicable Law to store the personal data;
(j) inform you immediately if, in our opinion, any instruction given to it by you infringes Data Protection Legislation,
12.8 We shall maintain complete and accurate records and information to demonstrate our compliance with Our Commitments and make them available to you on demand.
12.9 We shall keep such records as necessary to comply with Articles 30(2) and 30(3) (ignoring Article 30(5)) of the GDPR.
12.11 We may, at any time on not less than thirty (30) days’ notice, revise this clause 12 by replacing it with any applicable controller to processor standard clauses or similar terms forming part of an applicable certification scheme which shall apply when replaced by attachment to this Agreement.
13. Our liability
13.1 Our responsibility for loss or damage suffered by you if you are a consumer
(a) We are responsible to you for foreseeable loss and damage caused by us. If we fail to comply with these Terms, we are responsible for loss or damage you suffer that is a foreseeable result of our breaking this Contract or our failing to use reasonable care and skill, but we are not responsible for any loss or damage that is not foreseeable. Loss or damage is foreseeable if either it is obvious that it will happen or if, at the time the Contract was made, both we and you knew it might happen, for example, if you discussed it with us during the sales process.
(b)We do not exclude or limit in any way our liability to you where it would be unlawful to do so. This includes liability for death or personal injury caused by our negligence or the negligence of our employees, agents or subcontractors; for fraud or fraudulent misrepresentation; for breach of your legal rights in relation to the Products.
(c)When we are liable for damage to your property. If we are providing services in your property, we will make good any damage to your property caused by us while doing so. However, we are not responsible for the cost of repairing any pre-existing faults or damage to your property that we discover while providing the services.
(d)We are not liable for business losses. If you are a consumer we only supply the Products for to you for domestic and private use. If you use the Products for any commercial, business or re-sale purpose our liability to you will be limited as set out in clause 13.2.
13.2 Our responsibility for loss or damage suffered by you if you are a business
(a)Nothing in these Terms shall limit or exclude our liability for:
(i)death or personal injury caused by our negligence, or the negligence of our employees, agents or subcontractors (as applicable);
(ii)fraud or fraudulent misrepresentation;
(iii)breach of the terms implied by section 12 of the Sale of Goods Act 1979 or section 2 of the Supply of Goods and Services Act 1982;
(iv)defective products under the Consumer Protection Act 1987; or
(v)any matter in respect of which it would be unlawful for us to exclude or restrict liability.
(b)Except to the extent expressly stated in these Terms, all terms implied by sections 13 to 15 of the Sale of Goods Act 1979 and sections 3 to 5 of the Supply of Goods and Services Act 1982 are excluded.
(c)Subject to clause 13.2(a):
(i)we shall not be liable to you, whether in contract, tort (including negligence), breach of statutory duty, or otherwise, for any loss of profit, or any indirect or consequential loss arising under or in connection with any contract between us; and
(ii)our total liability to you for all other losses arising under or in connection with any contract between us, whether in contract, tort (including negligence), breach of statutory duty, or otherwise, shall be limited to the total sums paid by you for Products under such Contract.
14. Import duty
14.1 If you order Products from our site for delivery outside the UK, they may be subject to import duties and taxes which are levied when the delivery reaches the specified destination. You will be responsible for payment of any such import duties and taxes. Please note that we have no control over these charges and cannot predict their amount. Please contact your local customs office for further information before placing your order.
14.2 Please also note that you must comply with all applicable laws and regulations of the country for which the Products are destined. We will not be liable for any breach by you of any such laws.
15. Written communications
15.1 Applicable laws require that some of the information or communications we send to you should be in writing. When using our website, you accept that communication with us will be mainly electronic. We will contact you by e-mail or provide you with information by posting notices on our website. For contractual purposes, you agree to this electronic means of communication and you acknowledge that all contracts, notices, information and other communications that we provide to you electronically comply with any legal requirement that such communications be in writing. This condition does not affect your statutory rights.
All notices given by you to us must be given to Flooring Megastore Limited at Unit 9, Access 4.20, New Hythe Business Park, Bellingham Way, Aylesford, Kent ME20 7HP. We may give notice to you at either the e-mail or postal address you provide to us when placing an order, or in any of the ways specified in clause 15 above. Notice will be deemed received and properly served immediately when posted on our website, 24 hours after an e-mail is sent, or 3 days after the date of posting of any letter. In proving the service of any notice, it will be sufficient to prove, in the case of a letter, that such letter was properly addressed, stamped and placed in the post and, in the case of an e-mail, that such e-mail was sent to the specified e-mail address of the addressee.
17. Transfer of rights and obligations
17.1 The Contract between you and us is binding on you and us and on our respective successors and assignees.
17.2 You may not transfer, assign, charge or otherwise dispose of the Contract, or any of your rights or obligations arising under it, without our prior written consent.
17.3 We may transfer, assign, charge, sub-contract or otherwise dispose of the Contract, or any of our rights or obligations arising under it, at any time during the term of the Contract.
18. Events outside our control
18.1 We will not be liable or responsible for any failure to perform, or delay in performance of, any of our obligations under the Contract that is caused by events outside our reasonable control (“Force Majeure Event”).
18.2 A Force Majeure Event includes any act, event, non-happening, omission or accident beyond our reasonable control and includes in particular (without limitation) the following: (a) strikes, lock-outs or other industrial action; (b) civil commotion, riot, invasion, terrorist attack or threat of terrorist attack, war (whether declared or not) or threat or preparation for war; (c) fire, explosion, storm, flood, earthquake, subsidence, epidemic or other natural disaster; (d) impossibility of the use of railways, shipping, aircraft, motor transport or other means of public or private transport; (e) impossibility of the use of public or private telecommunications networks; (f) the acts, decrees, legislation, regulations or restrictions of any government; and (g) pandemic or epidemic.
18.3 Our performance under any Contract is deemed to be suspended for the period that the Force Majeure Event continues, and we will have an extension of time for performance for the duration of that period. We will use our reasonable endeavours to bring the Force Majeure Event to a close or to find a solution by which our obligations under the Contract may be performed despite the Force Majeure Event.
19.1 If we fail, at any time during the term of a Contract, to insist upon strict performance of any of your obligations under the Contract or any of these Terms, or if we fail to exercise any of the rights or remedies to which we are entitled under the Contract, this will not constitute a waiver of such rights or remedies and will not relieve you from compliance with such obligations.
19.2 A waiver by us of any default will not constitute a waiver of any subsequent default.
19.3 No waiver by us of any of these Terms or any provision of the Contract will be effective unless it is expressly stated to be a waiver and is communicated to you in writing in accordance with clause 15 above.
If any court or competent authority decides that any of the provisions of these Terms or any provisions of a Contract are invalid, unlawful or unenforceable to any extent, the term will, to that extent only, be severed from the remaining terms, which will continue to be valid to the fullest extent permitted by law.
21. Entire agreement
21.1 These Terms and the Contract and any document expressly referred to in them constitute the whole agreement between us and supersede all previous discussions, correspondence, negotiations, previous arrangement, understanding or agreement between us relating to the subject matter of any Contract.
21.2 We each acknowledge that, in entering into a Contract, neither of us relies on, or will have any remedies in respect of, any representation or warranty (whether made innocently or negligently) that is not set out in the Contract or the documents referred to in them.
21.3 Each of us agrees that our only liability in respect of those representations and warranties that are set out in this agreement (whether made innocently or negligently) will be for breach of the Contract.
21.4 Nothing in this clause limits or excludes any liability for fraud.
22. Our right to vary these Terms
22.1 We have the right to revise and amend these Terms from time to time.
22.2 You will be subject to the policies and Terms in force at the time that you order Products from us, unless any change to those policies or these Terms or the Contract is required to be made by law or governmental authority) in which case it will apply to orders previously placed by you), or if we notify you of the change to those policies or these Terms before we send you the Dispatch Confirmation (in which case we have the right to assume that you have accepted the change to the Terms, unless you notify us to the contrary before receipt by you of the Products.
23. Third party rights
A person who is not party to these Terms or a Contract shall not have any rights under or in connection with them under the Contracts (Rights of Third Parties) Act 1999.
24. Law and jurisdiction
Contracts for the purchase of Products through our website and any dispute or claim arising out of or in connection with them or their subject matter or formation (including non-contractual disputes or claims) will be governed by English law. Any dispute or claim arising out of or in connection with such Contracts or their formation (including non-contractual disputes or claims) will be subject to the exclusive jurisdiction of the courts of England and Wales.
Standard cancellation form
To: Flooring Megastore Limited , Unit 9 Access 4.20, New Hythe Business Park , Bellingham Way , Aylesford , Kent, ME20 7HP.
Tel: 01622 - 790 356
Email: See our contact page, here: https://flooringmegastore.co.uk/contact
[I/We] hereby give you notice that [I/we] cancel [my/our] contract of sale of the following Products:
[ PRODUCT DETAILS GO HERE ]
Ordered on [ ADD DATE HERE ] and received on [ADD DATE HERE]
Name of consumer: [ADD YOUR NAME HERE ] Order number: [ADD ORDER NUMBER HERE] Address of consumer: [ ADD ADDRESS HERE] Signature of consumer: [ ADD SIGNATURE HERE] Date: [ADD DATE HERE ]