TERMS & CONDITIONS
Please read the following important terms and conditions before you submit your order.
Our terms
1. These terms
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- What these terms cover.
These are the terms and conditions on which we supply products to you, whether these are goods or services. - Why you should read them.
Please read these terms carefully before you submit your order to us. These terms tell you who we are, how we will provide products to you, how you and we may change or end the contract, what to do if there is a problem and other important information. If you think that there is a mistake in these terms, please contact us to discuss.
- What these terms cover.
2. Information about us and how to contact us
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- Who we are.
We are Trade Balustrade Ltd., a company incorporated in England with company number 10101263. Our registered office is Unit 31, Wharfside, Milton Keynes, MK2 2AZ. Our trading name is Trade Balustrade. Our registered VAT number is GB 2399592 49. - How to contact us.
You can contact us by telephoning our customer service team on 01908 370 650 or by writing to us at returns@tradebalustrade.co.uk or Customer Service, Unit 31, Wharfside, Milton Keynes, MK2 2AZ. - How we may contact you.
If we have to contact you we will do so by telephone or by writing to you at the email address or postal address you provided to us in your order. - “Writing” includes emails.
When we use the words “writing” or “written” in these terms, this includes emails.
- Who we are.
3. Our contract with you
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- How we will accept your order.
Our acceptance of your order will take place when we write to you (including by email) to accept it, at which point a contract will come into existence between you and us. - If we cannot accept your order.
If we are unable to accept your order, we will inform you of this and we will not charge you for the product. This might be because the product is out of stock, because of unexpected limits on our resources which we could not reasonably plan for, because we have identified an error in the price or description of the product, or because we are unable to meet a delivery deadline you have specified. - Your order number.
We will assign an order number to your order and tell you what it is when we accept your order. It will help us if you can tell us the order number whenever you contact us about your order. - We only sell to the UK.
Our website is solely for the promotion of our products in the UK. Unfortunately, we do not deliver to addresses outside the UK.
- How we will accept your order.
4. Our products
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- Products may vary slightly from their pictures.
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. Although we have made every effort to be as accurate as possible, because our products are handmade, all sizes, weights, capacities, dimensions and measurements indicated on our website have a 2% tolerance. - Product packaging may vary.
The packaging of the product may vary from that shown in images on our website. - Making sure your measurements are accurate.
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 on our website or by contacting us.
- Products may vary slightly from their pictures.
5. Your rights to make changes
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- If you wish to make a change to the product you have ordered before it is delivered please contact us.
We will let you know if the change is possible. If it is possible we will let you know about any changes to the price of the product, the timing of supply or anything else which would be necessary as a result of your requested change and ask you to confirm whether you wish to go ahead with the change. If we cannot make the change or the consequences of making the change is unacceptable to you, you may want to end the contract (see clause 8, Your rights to end the contract).
- If you wish to make a change to the product you have ordered before it is delivered please contact us.
6. Our rights to make changes
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- Minor changes to the products.
We may change a product:- to reflect changes in relevant laws and regulatory requirements; and
- to implement minor technical adjustments and improvements, for example, to address a security threat. These changes will not affect your use of the product.
- More significant changes to the products and these terms.
In addition, we may make changes to these terms or the product, but if we do so we will notify you and you may then contact us to end the contract before the changes take effect and receive a refund for any products paid for but not received.
- Minor changes to the products.
7. Providing the products
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- Delivery costs.
The costs of delivery will be as told to you over the telephone, as set out on our website and/or as told to you in the course of email exchanges. - When we will provide the products.
During the order process, we will let you know when we will provide the product(s) to you. - We are not responsible for delays outside our control.
If our supply of a product 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. Provided we do this we will not be liable for delays caused by the event, but if there is a risk of substantial delay you may contact us to end the contract and receive a refund for any product you have paid for but not received. - Collection by you. If you have asked to collect a product from our premises, you can collect it from us at any time between 8:30am and 3:30pm on weekdays (excluding public holidays).
- If you are not at home when the product is delivered.It is your responsibility to provide the full delivery address. We must have prior notice of any access issues to your property – whereby you may have to supply an alternative delivery address. Steelwork will be delivered by a national courier between Monday to Friday (untimed delivery). Glass delivery dates will be notified by email. Glass delivery is a curbside delivery. You must be on-site to take and unload the delivery. Failed deliveries because you are not there to offload the delivery, or there are access issues, then a re-delivery fee will be charged. Any order discrepancies or damages must be reported within 24 hours.
- If you do not allow us access to provide services.
If you do not allow us access to your property to perform the services as arranged (and you do not have a good reason for this) we may charge you additional costs incurred by us as a result. If, despite our reasonable efforts, we are unable to contact you or re-arrange access to your property we may end the contract and clause 2 will apply. - Setting a new deadline for delivery.
If you do not wish to treat the contract as at an end straight away, or do not have the right to do so under clause 4, you can give us a new deadline for delivery, which must be reasonable, and you can treat the contract as at an end if we do not meet the new deadline. - When you become responsible for the product.
A product which is goods will be your responsibility from the time we deliver the product to the address you gave us or you, or a carrier organised by you, collect it from us. - When you own the product.
You own a product which is goods once we have received payment in full. - What will happen if you do not give the required information to us.
We may need certain information from you so that we can supply the products to you, for example, your name, installation details (including site dimensions), delivery address, billing address, payment details, a contact number and email address. If so, this will have been told to you over the telephone, on our website or told to you in the course of email exchanges. We will contact you to ask for this information. If you do not give us this information within a reasonable time of us asking for it, or if you give us incomplete or incorrect information, we may either end the contract (and clause 2 will apply) or make an additional charge of a reasonable sum to compensate us for any extra work that is required as a result. We will not be responsible for supplying the product(s) late or not supplying any part of them if this is caused by you not giving us the information we need within a reasonable time of us asking for it. - Reasons we may suspend the supply of a product to you.
We may have to suspend the supply of a product to:- deal with technical problems or make minor technical changes;
- update the product to reflect changes in relevant laws and regulatory requirements;
- make changes to the product as requested by you or notified by us to you (see clause 6).
- Your rights if we suspend the supply of a product.
We will contact you in advance to tell you we will be suspending supply of a product, unless the problem is urgent or an emergency. You may contact us to end the contract for a product if we suspend it, or tell you we are going to suspend it, in each case for a period of more than 6 months and we will offer you an alternative product or refund any sums you have paid in advance for the product in respect of the period after you end the contract. - We may also suspend supply of a product if you do not pay.
If you do not pay us for a product when you are supposed to (see clause 4) and you still do not make payment within 21 days of us reminding you that payment is due, we may suspend supply of the product until you have paid us the outstanding amounts. We will contact you to tell you we are suspending supply of the product. We will not suspend the product where you dispute the unpaid invoice (see clause 12.8). We will not charge you for the product during the period for which they are suspended. As well as suspending the product we can also charge you interest on your overdue payments (see clause 12.5).
- Delivery costs.
8. Your rights to end the contract
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- You can always end your contract with us.
Your rights when you end the contract will depend on what you have bought, whether there is anything wrong with it, how we are performing and when you decide to end the contract:- If what you have bought is faulty or misdescribed you may have a legal right to end the contract (or to get the product repaired or replaced or a service re-performed or to get some or all of your money back), see clause 11;
- If you want to end the contract because of something we have done or have told you we are going to do, see clause 2;
- If you have just changed your mind about the product, see clause 3. You may be able to get a refund if you are within the cooling-off period, but this may be subject to deductions and you will have to pay the costs of return of any products. Please note that we are unable to accept returns or provide a refund in relation to any made-to-measure products, due to the bespoke nature of each item;
- In all other cases (if we are not at fault and there is no right to change your mind), see clause 6.
- Ending the contract because of something we have done or are going to do.
If you are ending a contract for a reason set out below the contract will end immediately and we will refund you in full for any products which have not been provided and you may also be entitled to compensation. The reasons are:- we have told you about an upcoming change to the product or these terms which you do not agree to (see clause 2);
- we have told you about an error in the price or description of the product you have ordered and you do not wish to proceed;
- there is a risk that supply of the product may be significantly delayed because of events outside our control;
- we have suspended supply of the product for technical reasons, or notify you that we are going to suspend it for technical reasons, in each case for a period of more than 6 months; or
- you have a legal right to end the contract because of something we have done wrong.
- Exercising your right to change your mind (Consumer Contracts Regulations 2013).
For standard off-the-shelf products which are bought over the telephone, by mail order or by exchange of emails, you have a legal right to change your mind within 14 days and receive a refund. These rights, under the Consumer Contracts Regulations 2013, are explained in more detail in these terms. Stock items can incur a restocking fee of up to 25%. Unfortunately we are unable to accept returns or refunds in relation to made-to-measure products, which are made to your specific requirements. - When you don’t have the right to change your mind.
You do not have a right to change your mind in respect of:- any products which are made to your specific requirements (for example any of our made-to-measure products);
- services, once these have been completed, even if the cancellation period is still running (for example, our site surveys, technical drawings, or balustrade installation services cannot be cancelled once the service has been completed); or
- any products (for example our standard off-the-shelf products) which become mixed inseparably with other items after their delivery.
- How long do I have to change my mind in relation to off-the-shelf products and services?
How long you have depends on what you have ordered and how it is delivered.- Have you bought services (for example, site surveys, technical drawings, or balustrade installation)? If so, you have 14 days after the day we email you to confirm we accept your order. However, once we have completed the services you cannot change your mind, even if the period is still running. If you cancel after we have started the services, you must pay us for the services provided up until the time you tell us that you have changed your mind.
- Have you bought a product which is not made to your specific requirements? If so you have 14 days after the day you (or someone you nominate) receives the product to change your mind about the product.
- Ending the contract where we are not at fault and there is no right to change your mind.
Even if we are not at fault and you do not have a right to change your mind (see clause 1), you can still end the contract for standard goods and services before it is completed, but you may have to pay us compensation. A contract for goods is completed when the product is delivered and paid for. A contract for services is completed when we have finished providing the services and you have paid for them. If you want to end a contract before it is completed where we are not at fault and you have not changed your mind, just contact us to let us know. The contract will end immediately. We will refund you any sums paid by you for products not provided but you will be required to pay our cancellation costs, which are set out in the table below.
- You can always end your contract with us.
POINT OF CANCELLATION | COST OF CANCELLATION (Subject to VAT) |
Following order confirmation and before CAD production and Survey | £100.00 (Admin Fee) |
Following CAD drawing production from customer provided dimensions | £350.00 (Includes Admin Fee) |
Following Survey | £800.00 (Includes Admin Fee) |
Following Survey and CAD drawing production | £1050.00 (Includes admin fee) |
At any stage of production (bespoke products) | 100% of Order Value + Admin Fee |
9. How to end the contract with us (including if you have changed your mind)
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- Tell us you want to end the contract.
To end the contract with us, please let us know by doing one of the following:- Phone or email. Call customer services on 01908 370 650 or email us at hello@tradebalustrade.co.uk with a completed copy of the Model Cancellation Form at Schedule 1. Please provide details of what you bought, when you ordered or received it and your name and address.
- By post. Print off the Model Cancellation Form at Schedule 1 and post it to us at the address on the form. Or simply write to Customer Service, Unit 31, Wharfside, Milton Keynes, MK2 2AZ. including details of what you bought, when you ordered or received it and your name and address.
- Returning products after the end of the contract.
If you end the contract for any reason after a product has been dispatched to you or you have received it, you must return it to us. You must either return the product in person to where you bought it, post it back to us at Unit 31, Wharfside, Milton Keynes, MK2 2AZ. or (if it is not suitable for posting) allow us to collect it from you. Please call customer services on 01908 370 650 or email us at sales@tradebalustrade.co.uk for information in relation to delivery or to arrange collection. If you are exercising your right to change your mind (which does not apply to any products made to your specification) you must send off the product(s) within 14 days of telling us you wish to end the contract. - When we will pay the costs of return.
We will pay the costs of return:- if a product is faulty or misdescribed;
- if you are ending the contract because we have told you of an upcoming change to the product or these terms, an error in pricing or description, a delay in delivery due to events outside our control or because you have a legal right to do so as a result of something we have done wrong; or
- if you are exercising your right to change your mind.
- Tell us you want to end the contract.
In all other circumstances (including where you are exercising your right to change your mind) you must pay the costs of return.
- What we charge for collection.
If you are responsible for the costs of return and we are collecting the product from you, we will charge you the direct cost to us of collection. The costs of collection will be as told to you over the telephone, on our website or told to you in the course of email exchanges. - How we will refund you.
We will refund you the price you paid for the product including delivery costs, by the method you used for payment. However, we may make deductions from the price, as described below. - Deductions from refunds if you are exercising your right to change your mind.
If you are exercising your right to change your mind:- We may reduce your refund of the price (excluding delivery costs) to reflect any reduction in the value of the product, if this has been caused by your handling it in a way which would not be permitted in a shop. If we refund you the price paid before we are able to inspect the product and later discover you have handled it in an unacceptable way, you must pay us an appropriate amount.
- The maximum refund for delivery costs will be the costs of delivery by the least expensive delivery method we offer. For example, if we offer delivery of a product within 3-5 days at one cost but you choose to have the product delivered within 24 hours at a higher cost, then we will only refund what you would have paid for the cheaper delivery option.
- Where the product is a service, we may deduct from any refund an amount for the supply of the service for the period for which it was supplied, ending with the time when you told us you had changed your mind. The amount will be in proportion to what has been supplied, in comparison with the full coverage of the contract.
- When your refund will be made.
We will make any refunds due to you as soon as possible. If you are exercising your right to change your mind then:- If the product is a good and we have not offered to collect it, your refund will be made within 14 days from the day on which we receive the product back from you or, if earlier, the day on which you provide us with evidence that you have sent the product back to us. For information about how to return a product to us, see clause 2.
- In all other cases, your refund will be made within 14 days of your telling us you have changed your mind.
10.Our rights to end the contract
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- We may end the contract if you break it.
We may end the contract for a product at any time by writing or emailing you if:- you do not make any payment to us when it is due and you still do not make payment within 28 days of us reminding you that payment is due;
- you do not, within a reasonable time of us asking for it, provide us with information that is necessary for us to provide the products or the services;
- you do not, within a reasonable time, allow us to deliver the products to you or collect them from us; or
- you do not, within a reasonable time, allow us access to your premises to supply the services.
- You must compensate us if you break the contract.
If we end the contract in the situations set out in clause 1 we will refund any money you have paid in advance for a product that we have not provided but we may deduct or charge you reasonable compensation for the net costs we will incur as a result of your breaking the contract. - We may withdraw the product.
We may write to you to let you know that we are going to stop providing the product. We will let you know in advance of our stopping the supply of the product and will refund any sums you have paid in advance for products which will not be provided.
- We may end the contract if you break it.
11.If there is a problem with the product
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- How to tell us about problems.
If you have any questions or complaints about the product, please contact us. You can telephone our customer service team on 01908 370 650 or write to us at info@tradebalustrade.co.uk or Customer Service, Unit 31, Wharfside, Milton Keynes, MK2 2AZ. - Your obligation to return rejected products.
If you wish to exercise your legal rights to reject a product you must either return it in person to where you bought it, post it back to us or (if it is not suitable for posting) allow us to collect it from you. We will pay the costs of postage or collection. Please call customer services on 01908 370 650 or email or write to us at info@tradebalustrade.co.uk or Customer Service, Unit 31, Wharfside, Milton Keynes, MK2 2AZ for further information.
- How to tell us about problems.
12. Price and payment
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- Where to find the price for the product.
The price of the product (which includes VAT) will be the price as told to you over the telephone, set out in our brochure, on our website or told to you in the course of email exchanges. We take all reasonable care to ensure that the price of the product advised to you is correct. However please see clause 3 for what happens if we discover an error in the price of the product you order. - We will pass on changes in the rate of VAT.
If the rate of VAT changes between your order date and the date we supply the product, we will adjust the rate of VAT that you pay, unless you have already paid for the product in full before the change in the rate of VAT takes effect. - What happens if we got the price wrong.
It is always possible that, despite our best efforts, some of the products we sell may be incorrectly priced. We will normally check prices before accepting your order so that, where a product’s correct price at your order date is less than our stated price at your order date, we will charge the lower amount. If the product’s correct price at your order date is higher than the price stated to you, we will contact you for your instructions before we accept your order. If we accept and process your order where a pricing error is obvious and unmistakable and could reasonably have been recognised by you as a mispricing, we may end the contract, refund you any sums you have paid and require the return of any products provided to you. - When you must pay and how you must pay.
We accept payment through Worldpay, Bank Transfer and Paypal. When you must pay depends on what product you are buying:- For all stock products or bespoke made to order products, you will need to pay in advance.
- For complete systems, you must make an advance payment of at least 60%, with a final 40% remaining prior to glass sizes being confirmed.
- For installation services, you must make an advance payment of at least 50% of the price of the services, before we start providing them. You may be asked to pay for the services in full before we provide them to you.
- We can charge interest if you pay late.
If you do not make any payment to us by the due date we may charge interest to you on the overdue amount at the rate of 4% a year above the base lending rate of the Barclays Bank Plc from time to time. This interest shall accrue on a daily basis from the due date until the date of actual payment of the overdue amount, whether before or after judgment. You must pay us interest together with any overdue amount. - We can charge an administration fee if we need to chase you for payment.
We may apply an administration fee which will be charged at £25.00 plus VAT per item of correspondence from us to you regarding any overdue payment (including email, post, fax or telephone call). - We can charge for storage of the product(s).
Any failure by you to accept a product delivered to the location as specified in your order, and/or a failure by you to provide any payments, instructions, documents, licences, consents or authorisations required to enable the product to be delivered on the due date, shall entitle us (at our sole discretion) to remove and store the product at your expense and risk. We will charge you with storage costs of £100.00 plus VAT per week, per pallet containing the product. We may also charge you the cost of haulage both to and from the address requested and any other costs associated with such failure(s) by you. - What to do if you think an invoice is wrong.
If you think an invoice is wrong please contact us promptly to let us know and within 7 days of the issued date. You will not have to pay any interest until the dispute is resolved. Once the dispute is resolved we will charge you interest on correctly invoiced sums from the original due date.
- Where to find the price for the product.
13. Our responsibility for loss or damage suffered by you
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- 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. - 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, including the right to receive products which are: as described and match information we provided to you and any sample or model seen or examined by you; of satisfactory quality; fit for any particular purpose made known to us; supplied with reasonable skill and care and, where installed by us, correctly installed; and for defective products under the Consumer Protection Act 1987. - 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. - We are not liable for business losses.
We only supply the products to you for domestic and private use. If you use the products for any commercial, business or resale purpose we will have no liability to you for any loss of profit, loss of business, business interruption, or loss of business opportunity. - When trade
- We are responsible to you for foreseeable loss and damage caused by us.
14. How we may use your personal information
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- How we may use your personal information. We will only use your personal information as set out in our Privacy Policy. You can find our Privacy Policy here https://www.tradebalustrade.co.uk/privacy/
15. Other important terms
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- We may transfer this agreement to someone else.
We may transfer our rights and obligations under these terms to another organisation. We will always tell you in writing if this happens and we will ensure that the transfer will not affect your rights under the contract. - Nobody else has any rights under this contract (except someone you pass your guarantee on to).
This contract is between you and us. No other person shall have any rights to enforce any of its terms. Neither of us will need to get the agreement of any other person in order to end the contract or make any changes to these terms. - If a court finds part of this contract illegal, the rest will continue in force.
Each of the paragraphs of these terms operates separately. If any court or relevant authority decides that any of them are unlawful, the remaining paragraphs will remain in full force and effect. - Even if we delay in enforcing this contract, we can still enforce it later.
If we do not insist immediately that you do anything you are required to do under these terms, or if we delay in taking steps against you in respect of your breaking this contract, that will not mean that you do not have to do those things and it will not prevent us from taking steps against you at a later date. For example, if you miss a payment and we do not chase you but we continue to provide the products, we can still require you to make the payment at a later date. - Which laws apply to this contract and where you may bring legal proceedings.
These terms are governed by English law and you can bring legal proceedings in respect of the products in the English courts. If you live in Scotland you can bring legal proceedings in respect of the products in either the Scottish or the English courts. If you live in Northern Ireland you can bring legal proceedings in respect of the products in either the Northern Irish or the English courts. - Alternative dispute resolution.
Alternative dispute resolution is a process where an independent body considers the facts of a dispute and seeks to resolve it, without you having to go to court. If you are not happy with how we have handled any complaint, you may want to contact the alternative dispute resolution provider we use. You can submit a complaint to the Federation of Master Builders (FMB). (See their website at https://www.fmb.org.uk/about-the-fmb/dispute-resolution/.) The Federation of Master Builders (FMB) will not charge you for making a complaint and if you are not satisfied with the outcome you can still bring legal proceedings. In addition, please note that disputes may be submitted for online resolution to the European Commission Online Dispute Resolution platform.
- We may transfer this agreement to someone else.
16. Installation
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Ensuring your site is ready for us when we arrive: if we arrive on site and the site is not ready or cannot be accessed we will still bill for the full day
- Where the Company is contracted to carry out installation works it will be the responsibility of the Buyer to ensure a suitable fixing surface that is appropriate for the given product. The Company will offer advice on what it deems to be appropriate but for reference only.
- The Buyer shall contact building control to confirm what surface/construction the Goods should be installed upon and where necessary consult a structural engineer to gain confirmation and clarification.
- Any installations made by the Company that becomes defective as a direct result of unsuitable fixing surfaces, or for any reason not attributable to the installation itself will hold no liability upon the Company. This includes any landslide, hurricane, or natural event that may disrupt the installation or cause damage to the Goods installed.
- When installing balustrade to patios, raised areas or floors, Trade Balustrade Ltd cannot be held responsible for any cracks or chips that occur to what we are fitting too. It is the customers reposabilty to have any slabs or brick work repointed.
- Any remedial work is down to the buyer’s builder, contractor, structural engineer, or architect to perform which may include such tasks as to watertight/waterproof/seal the area.
- Once installed the risk in the Goods passes wholly to the Buyer.
- It is the Buyer’s responsibility to check the installation and Goods upon completion of installation and the Company shall be under no liability if a written complaint is not delivered to the Company within 3 days of delivery stating the defect.
- Where dimensions and site conditions are supplied to the Company, it will be deemed that this information is accurate. All drawings and interpretations supplied by the Company will be checked thoroughly by the Buyer. Any installation defect as a result of inaccurate information supplied by the Buyer or any costs incurred as a result shall be fully indemnified to the Company by the Buyer. Any discrepancies should be notified in writing.
- Where Goods are supplied to the Buyer for self-assembly the Company holds no liability for any incorrect handling, assembly, damage, or defect caused by the Buyer, or any firm acting on behalf of the Buyer.
- Where further site visits are required to either survey or install at no fault to the Company, a charge will be made to the minimum value of £350 per man, per day. Additional deliveries will be charged at cost. At this stage, all outstanding payments must be settled before further works are engaged.
- It will be reasonably assumed that there is access for the Company to carry out the necessary installation works and that any fixed scaffolding will be provided by the Buyer or main client unless otherwise agreed in writing.
- On some balustrade systems where there is mitred joints Trade Balustrade Ltd may have to use a silicon
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Damage due to adverse weather: Trade Balustrade Ltd, can not be held responsible for any damage that may be caused to any goods.
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SCHEDULE 1
Model Cancellation Form
(Complete and return this form only if you wish to withdraw from the contract)
To: Customer Service, Trade Balustrade, Unit 31, Wharfside, Milton Keynes, MK2 2AZ. [or by email to: info@tradebalustrade.co.uk).]
I/We [*] hereby give notice that I/We [*] cancel my/our [*] contract of sale of the following goods [*]/for the supply of the following service [*],
Ordered on [*]/received on [*],
Name of consumer(s),
Address of consumer(s),
Signature of consumer(s) (only if this form is notified on paper),
Date
[*] Delete as appropriate