Terms and Conditions

TERMS AND CONDITIONS OF THE USCLINIC>PL ONLINE SHOP 

TABLE OF CONTENTS:

GENERAL PROVISIONS

ELECTRONIC SERVICES IN THE ONLINE STORE

TERMS AND CONDITIONS FOR CONCLUDING A SALES CONTRACT

METHODS AND DEADLINES FOR PAYMENT FOR THE PRODUCT

COST, METHODS AND TIMES FOR DELIVERY AND COLLECTION OF THE PRODUCT

PRODUCT COMPLAINTS

OUT-OF-COURT METHODS OF HANDLING COMPLAINTS AND PURSING CLAIMS, AND RULES GOVERNING ACCESS TO THESE PROCEDURES

RIGHT TO WITHDRAW FROM THE CONTRACT

PROVISIONS RELATING TO BUSINESSES

FINAL PROVISIONS

MODEL WITHDRAWAL FORM

The usclinic.pl online shop respects consumer rights. Consumers may not waive the rights granted to them under the Consumer Rights Act. Any contractual provisions that are less favourable to the consumer than those of the Consumer Rights Act are void, and the provisions of the Consumer Rights Act shall apply in their place. Therefore, the provisions of these Terms and Conditions are not intended to exclude or limit any consumer rights to which they are entitled under mandatory provisions of law, and any possible ambiguities must be interpreted in favour of the consumer. In the event of any inconsistency between the provisions of these Terms and Conditions and the above provisions, the latter shall take precedence and shall apply.

1. GENERAL PROVISIONS

1.1. The Online Shop, accessible at usclinic.pl, is operated by US Clinic Sp. z o. o. (registered office and correspondence address: ul. Mieszczańska 25/1A, 50-201 Wrocław
), registered in the Central Register and Information on Economic Activity of the Republic of Poland maintained by the Minister responsible for the economy, Tax Identification Number (NIP): 8982330788 and email address: kontakt@usclinic.pl

1.2. These Terms and Conditions are addressed to both consumers and business customers using the Online Shop (with the exception of clause 9 of the Terms and Conditions, which is addressed exclusively to business customers).

1.3. The Service Provider is the controller of personal data processed in connection with the implementation of the provisions of these Terms and Conditions. Personal data is processed for the purposes, to the extent and in accordance with the principles set out in the privacy policy published on the Online Shop’s website. The provision of personal data is voluntary. Any person whose personal data is processed by the Service Provider has the right to access such data and the right to update and correct it.

1.4. Definitions:

1.4.1. WORKING DAY – any day from Monday to Friday, excluding public holidays.

1.4.2. REGISTRATION FORM – a form available on the Online Shop enabling the creation of an Account.

1.4.3. ORDER FORM – an Electronic Service, an interactive form available on the Online Shop enabling the placing of an Order, in particular by adding Products to the electronic shopping basket and specifying the terms of the Sales Contract, including the method of delivery and payment.

1.4.4. CUSTOMER – (1) a natural person with full legal capacity, and in cases provided for by generally applicable legislation, also a natural person with limited legal capacity; (2) a legal person; or (3) an organisational unit without legal personality to which the law grants legal capacity; – who has concluded or intends to conclude a Sales Agreement with the Seller.

1.4.5. CIVIL CODE – the Civil Code Act of 23 April 1964 (Journal of Laws 1964 No. 16, item 93, as amended).

1.4.6. ACCOUNT – an Electronic Service, identified by an individual (username) and a password provided by the Service User; a collection of resources within the Service Provider’s IT system in which the data provided by the Service User and information about Orders placed by them in the Online Shop are stored.

1.4.7. NEWSLETTER – an Electronic Service, an electronic distribution service provided by the Service Provider via email, which enables all Service Users who subscribe to it to automatically receive from the Service Provider regular content in successive editions of the newsletter containing information about Products, new arrivals and promotions in the Online Shop.Newsletter – to use the Newsletter, you must enter the email address to which future issues of the Newsletter are to be sent in the ‘Newsletter’ tab visible on the Online Shop’s website, and then click the ‘

The Newsletter Electronic Service is provided free of charge for an indefinite period. The Service User may, at any time and without giving a reason, unsubscribe from the Newsletter by sending a request to that effect to the Service Provider, in particular by email to: kontakt@usclinic.pl or in writing to the following address: ul. Mieszczańska 25/1A, 50-201 Wrocław

1.4.8. PRODUCT – a movable item available in the Online Shop which is the subject of the Sales Agreement between the Customer and the Seller.

1.4.9. TERMS AND CONDITIONS – these Terms and Conditions of the Online Shop.

1.4.10. ONLINE SHOP – the Service Provider’s online shop available at the web address: usclinic.pl.

1/4/11. SELLER; SERVICE PROVIDER – US Clinic Sp. z o. o. (business address and correspondence address: ul. Mieszczańska 25/1A, 50-201 Wrocław
), entered in the Central Register and Information on Economic Activity of the Republic of Poland maintained by the Minister responsible for the economy, Tax Identification Number (NIP): 8982330788 and email address: kontakt@usclinic.pl.

1.4.12. SALES AGREEMENT – an agreement for the sale of a Product entered into or concluded between the Customer and the Seller via the Online Shop.

1.4.13. ELECTRONIC SERVICE – a service provided electronically by the Service Provider to the Service Recipient via the Online Shop.

1.4.14. SERVICE RECIPIENT – (1) a natural person with full legal capacity, and in cases provided for by generally applicable legislation, also a natural person with limited legal capacity; (2) a legal person; or (3) an organisational unit without legal personality to which the Act grants legal capacity; – using or intending to use the Electronic Service.

1.4.15. CONSUMER RIGHTS ACT, THE ACT – the Act of 30 May 2014 on consumer rights (Journal of Laws 2014, item 827, as amended)

1.4.16. ORDER – a declaration of intent by the Customer made via the Order Form and aimed directly at concluding a Product Sales Contract with the Seller.

2. ELECTRONIC SERVICES IN THE ONLINE SHOP

2.1. The following Electronic Services are available in the Online Shop: Account, Order Form and purchases without registration.

2.1.1. Account – use of the Account is possible once all three of the following steps have been completed: (1) completing the Registration Form, (2) clicking the ‘Create your account’ button; and (3) confirming your intention to create an Account by clicking the confirmation link sent to the email address provided. The following details of the Service User must be provided in the Registration Form: first name/username, email address and password.

2.1.1.1. The ‘Electronic Account’ service is provided free of charge for an indefinite period. The User may, at any time and without giving a reason, delete their Account (cancel their Account) by sending a request to this effect to the Service Provider, in particular by email to: kontakt@usclinic.pl or in writing to the following address: ul. Mieszczańska 25/1A, 50-201 Wrocław
.

2.1.2. Order Form – use of the Order Form begins when the Customer adds the first Product to the online shopping basket in the Online Shop. An Order is placed once the Customer has completed a total of two consecutive steps – (1) completing the Order Form and (2) clicking the ‘Confirm purchase’ button on the Online Shop’s website after completing the Order Form – until this point, it is possible to amend the details entered yourself (to do so, please follow the on-screen prompts and the information available on the Online Shop’s website). In the Order Form, the Customer must provide the following details: first name and surname/company name, address (street, house/flat number, postcode, town/city, country), email address, contact telephone number, and details relating to the Sales Contract: Product(s), quantity of Product(s), place and method of delivery of the Product(s), and method of payment. In the case of Customers who are not consumers, it is also necessary to provide the company name and tax identification number (NIP).

2.1.2.1. The Electronic Order Form service is provided free of charge; it is a one-off service and ceases upon the submission of an Order via the form or upon the Service User ceasing to place Orders via the form at an earlier date.

2.1.3 Purchases without registration. The Customer does not need to create an account with the shop; they simply need to provide their delivery details.

2.2. Technical requirements necessary to use the IT system operated by the Service Provider: (1) a computer, laptop or other multimedia device with internet access; (2) access to email; (3) a web browser: Mozilla Firefox version 17.0 or later, Internet Explorer version 10.0 or later, Opera version 12.0 or later, Google Chrome version 23.0 or later, or Safari version 5.0 or later; (4) recommended minimum screen resolution: 1024×768; (5) the ability to accept cookies and support for JavaScript must be enabled in the web browser.

2.3. The Customer is obliged to use the Online Shop in a manner consistent with the law and public decency, whilst respecting the personal rights, copyright and intellectual property rights of the Service Provider and third parties. The Customer is obliged to provide information that is true and accurate. The Customer is prohibited from providing unlawful content.

3. TERMS AND CONDITIONS FOR THE CONCLUSION OF A SALES AGREEMENT

3.1. A Sales Contract between the Customer and the Seller is concluded once the Customer has placed an Order using the Order Form on the Online Shop in accordance with clause 2.1.2 of the Terms and Conditions.

3.2. The price of the Product displayed on the Online Shop’s website is quoted in Polish zlotys and includes tax. The Customer is informed on the Online Shop’s website, whilst placing the Order – including at the moment the Customer expresses their intention to be bound by the Sales Contract – of the total price including tax of the Product covered by the Order, as well as of the delivery costs (including charges for transport, delivery and postal services) and other costs; and, where the amount of these charges cannot be determined, of the obligation to pay them, the Customer is informed on the Online Shop’s pages whilst placing the Order, including at the moment the Customer expresses their intention to be bound by the Sales Contract.

3.3. Procedure for concluding a Sales Contract in the Online Shop using the Order Form

3.3.1. The Sales Contract between the Customer and the Seller is concluded after the Customer has placed an Order on the Online Shop in accordance with clause 2.1.2 of the Terms and Conditions.

3.3.2. Upon submission of the Order, the Seller shall immediately confirm receipt thereof and, at the same time, accept the Order for fulfilment. Confirmation of receipt of the Order and its acceptance for fulfilment shall take place by the Seller sending the Customer an appropriate e-mailto the Customer’s email address provided when placing the Order, which contains at least the Seller’s statements confirming receipt of the Order and its acceptance for fulfilment, as well as confirmation of the conclusion of the Sales Contract. Upon the Customer’s receipt of the aforementioned email, the Sales Agreement is concluded between the Customer and the Seller.

3.4. The content of the concluded Sales Agreement is recorded, secured and made available to the Customer by (1) making these Terms and Conditions available on the Online Shop’s website and (2) sending the Customer the email referred to in clause 3.3.2. Terms and Conditions. The content of the Sales Agreement is additionally recorded and secured in the Seller’s Online Shop’s IT system.

4. METHODS AND DEADLINES FOR PAYMENT FOR THE PRODUCT

4.1. The Seller offers the Customer the following payment methods under the Sales Agreement:

4.1.2. Payment by bank transfer to the Seller’s bank account.

4.1.2.1. Account number: PL 

69 1160 2202 0000 0007 0658 5586

4.1.3. Electronic payments and card payments via the Przelewy24.pl service.

4.2. Payment deadline:

4.2.1. If the Customer chooses to pay by bank transfer, electronic payment or payment card, the Customer is obliged to make the payment within 3 calendar days of the date on which the Sales Agreement is concluded.

5. COST, METHODS AND TIMING OF DELIVERY AND COLLECTION OF THE PRODUCT

5.1. Delivery of the Product is available within the territory of the Republic of Poland.

5.2. Delivery of the Product to the Customer is subject to a charge, unless the Sales Agreement provides otherwise. The costs of delivering the Product (including charges for transport, delivery and postal services) are shown to the Customer on the Online Shop’s website under the ‘Delivery’ tab and during the Order placement process, including at the moment the Customer expresses their intention to be bound by the Sales Contract.

5.3. The Seller offers the Customer the following methods of delivery or collection of the Product:

5.3.1. Courier delivery,

5.3.1.a. Collection from a Paczkomat collection point

5.5. The delivery time for the Product to the Customer is up to 2 Working Days, unless a shorter period is specified in the description of the Product in question or whilst placing the Order. In the case of Products with different delivery times, the delivery time shall be the longest specified time, which, however, may not exceed 28 Working Days. The start of the delivery period for the Product to the Customer is calculated as follows:

5.5.1. Where the Customer chooses to pay by bank transfer, electronic payment or payment card – from the date on which the funds are credited to the Seller’s bank account or settlement account.

6. PRODUCT COMPLAINTS

6.1. The basis and scope of the Seller’s liability towards the Customer, should the Product sold have a physical or legal defect (warranty), are set out in generally applicable legal provisions, in particular in the Civil Code. For Sales Contracts concluded up to 24 December 2014, the basis and scope of the Seller’s liability towards a Customer who is a natural person and who purchases the Product for purposes unrelated to their professional or business activities, arising from the Product’s non-conformity with the Sales Contract are governed by generally applicable legal provisions, in particular the Act of 27 July 2002 on specific terms and conditions of consumer sales and amending the Civil Code (Journal of Laws 2002 No. 141, item 1176, as amended).

6.2. The Seller is obliged to supply the Customer with a Product free from defects.

6.3. A complaint may be lodged by the Customer, for example:

6.3.1. in writing to the following address: US Clinic Sp. z o. o., ul. Mieszczańska 25/1A, 50-201 Wrocław

6.3.2. electronically via email to the address: kontakt@usclinic.pl

6.4. The Customer is advised to provide: (1) information and details regarding the subject of the complaint, in particular the nature and date of the defect; (2) photographs confirming the product defect or damage; (3) the contact details of the person making the complaint – this will facilitate and speed up the Seller’s handling of the complaint. The requirements set out in the previous sentence are merely recommendations and do not affect the validity of complaints submitted without the recommended description.

6.5. The Seller shall respond to the Customer’s complaint without delay, no later than within 14 calendar days from the date of its submission. Failure by the Seller to respond within the aforementioned period shall mean that the Seller has deemed the complaint to be justified.

6.6. A Customer exercising their rights under the warranty is obliged, at the Seller’s expense, to deliver the defective Product to the following address: ul. Mieszczańska 25/1A, 50-201 Wrocław
.

7. OUT-OF-COURT METHODS OF HANDLING COMPLAINTS AND PURSING CLAIMS, AND RULES GOVERNING ACCESS TO THESE PROCEDURES

7.1. Detailed information regarding the options available to a Customer who is a consumer for the out-of-court handling of complaints and the pursuit of claims, as well as the rules governing access to these procedures, is available at the offices and on the websites of district (municipal) consumer ombudsmen, social organisations, whose statutory duties include consumer protection, the Provincial Inspectorates of Trade Inspection, and at the following websites of the Office of Competition and Consumer Protection: http://www.uokik.gov.pl/spory_konsumenckie.php; http://www.uokik.gov.pl/sprawy_indywidualne.php and http://www.uokik.gov.pl/wazne_adresy.php.

7.2. A Customer who is a consumer has the following examples of options for using out-of-court complaint handling and redress procedures:

7.2.1. The Customer is entitled to apply to a permanent consumer arbitration court, as referred to in Article 37 of the Act of 15 December 2000 on the Trade Inspection (Journal of Laws 2001 No. 4, item 25, as amended), with a request to resolve a dispute arising from the concluded Sales Contract. The rules governing the organisation and operation of permanent consumer arbitration tribunals are laid down in the Regulation of the Minister of Justice of 25 September 2001 on the rules governing the organisation and operation of permanent consumer arbitration tribunals. (Journal of Laws 2001, No. 113, item 1214).

7.2.2. The Customer is entitled to apply to the provincial inspector of the Trade Inspection Authority, in accordance with Article 36 of the Act of 15 December 2000 on the Trade Inspection Authority (Journal of Laws 2001 No. 4, item 25, as amended), with a request to initiate mediation proceedings for the amicable resolution of the dispute between the Customer and the Seller. Information on the rules and procedure for mediation conducted by the provincial inspector of the Trade Inspection is available at the offices and on the websites of the respective Provincial Trade Inspection Inspectorates.

7.2.3. The Customer may obtain free assistance in resolving a dispute between the Customer and the Seller, and may also seek free assistance from the district (municipal) consumer ombudsman or a civil society organisation whose statutory remit includes consumer protection (including the Consumers’ Federation and the Association of Polish Consumers). Advice is provided by the Consumers’ Federation via the free consumer helpline on 800 007 707 and by the Polish Consumers’ Association via email at porady@dlakonsumentow.pl.

8. RIGHT TO WITHDRAW FROM THE CONTRACT (APPLIES TO SALES CONTRACTS CONCLUDED ON OR AFTER 25 DECEMBER 2014)

8.1. A consumer who has concluded a distance contract may withdraw from it within 14 calendar days without giving any reason and without incurring any costs, except for the costs specified in clause 8.8 of the Terms and Conditions. To meet the deadline, it is sufficient to send the notice before the deadline expires. The notice of withdrawal from the contract may be submitted, for example:

8.1.1. in writing to the following address: US Clinic Sp. z o. o., ul. Mieszczańska 25/1A, 50-201 Wrocław

8.1.2. electronically via email to: kontakt@usclinic.pl;

8.2. A model withdrawal form is set out in Annex 2 to the Consumer Rights Act and is also available in clause 11 of the Terms and Conditions. The consumer may use the model form, but this is not mandatory.

8.3. The period for withdrawing from the contract begins:

8.3.1. for a contract under which the Seller delivers the Product and is obliged to transfer ownership of it (e.g. a Contract of Sale) – from the moment the Product is taken into possession by the consumer or a third party designated by them, other than the carrier.

8.3.2. for all other contracts – from the date the contract is concluded.

8.4. In the event of withdrawal from a distance contract, the contract shall be deemed not to have been concluded.

8.5. The Seller is obliged to refund the consumer all payments made by them, including the costs of delivery of the Product, without delay and no later than within 14 calendar days of receiving the consumer’s notice of withdrawal from the contract (with the exception of any additional costs arising from the Customer’s choice of a delivery method other than the cheapest standard delivery method available in the Online Shop). The Seller shall refund the payment using the same payment method as that used by the consumer, unless the consumer has expressly agreed to a different method of refund which does not entail any costs for them. If the Seller has not offered to collect the Product from the consumer themselves, it may withhold the refund of payments received from the consumer until it has received the Product back or the consumer has provided proof of its return, whichever occurs first.

8.6. The consumer is obliged to, without undue delay, no later than within 14 calendar days from the date on which they withdrew from the contract, return the Product to the Seller or hand it over to a person authorized by the Seller to collect it, unless the Seller has offered to collect the Product themselves. To meet the deadline, it is sufficient to dispatch the Product before it expires. The Consumer may return the Product to the following address: US Clinic Sp. z o. o., ul. Mieszczańska 25/1A, 50-201 Wrocław.

8.7. The Consumer is liable for any reduction in the value of the Product resulting from its use in a manner exceeding that necessary to ascertain the nature, characteristics and functioning of the Product.

8.8. Possible costs associated with the consumer’s withdrawal from the contract, which the consumer is obliged to bear:

8.8.1. If the consumer has chosen a method of delivery for the Product other than the cheapest standard delivery method available in the Online Shop, the Seller is not obliged to reimburse the consumer for any additional costs incurred by them.

8.8.2. The consumer shall bear the direct costs of returning the Product.

8.8.3. In the case of a Product constituting a service, the performance of which – at the consumer’s express request – commenced before the expiry of the withdrawal period, the consumer who exercises the right to withdraw from the contract after making such a request is obliged to pay for the services provided up to the time of withdrawal. The amount payable is calculated in proportion to the extent of the service provided, taking into account the price or remuneration agreed in the contract. If the price or remuneration is excessive, the basis for calculating this amount is the market value of the service provided.

8.8.4. The product must be returned in its original packaging, showing no signs of use. The packaging must be undamaged so that the product can be put back on sale.

8.9. The consumer is not entitled to the right to withdraw from a distance contract in respect of the following contracts:

8.9.1. If the furniture has been assembled, it cannot be returned.

8.9.2. (1) for the provision of services, where the Seller has fully performed the service with the consumer’s express consent, and the consumer was informed prior to the commencement of the service that they would lose the right to withdraw from the contract once the Seller had fulfilled the service; (2) 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 expiry of the withdrawal period; (3) where the subject matter of the service is a non-prefabricated Product, manufactured to the consumer’s specifications or designed to meet their individual needs; (4) where the subject matter of the contract is a Product that is liable to deteriorate rapidly or has a short shelf life; (5) where the subject of the supply is a Product delivered in sealed packaging which, once opened, cannot be returned for health or hygiene reasons, if the packaging was opened after delivery; (6) where the subject of the supply is Products which, due to their nature, become inseparably combined with other items upon delivery;

9. PROVISIONS RELATING TO BUSINESS CUSTOMERS

9.1. This section of the Terms and Conditions and the provisions contained therein apply exclusively to Customers and Service Recipients who are not consumers.

9.2. The Seller is entitled to withdraw from a Sales Contract concluded with a Customer who is not a consumer within 14 calendar days of the date of its conclusion. Withdrawal from the Sales Contract in this case may take place without giving any reason and does not give rise to any claims on the part of the Customer who is not a consumer against the Seller.

9.3. In the case of Customers who are not consumers, the Seller has the right to restrict the available payment methods, including the right to require full or partial prepayment, irrespective of the payment method chosen by the Customer and the fact that a Sales Contract has been concluded.

9.4. Upon the Seller handing over the Product to the carrier, the benefits and burdens associated with the Product, as well as the risk of accidental loss or damage to the Product, pass to the Customer who is not a consumer. In such cases, the Seller shall not be liable for any loss, shortage or damage to the Product arising from the time it is accepted for carriage until it is handed over to the Customer, nor for any delay in the carriage of the consignment.

9.5. Where the Product is sent to the Customer via a carrier, the Customer who is not a consumer is obliged to inspect the consignment in a timely manner and in the manner customary for consignments of this kind. If the Customer finds that the Product has been lost or damaged during carriage, they are obliged to take all necessary steps to establish the carrier’s liability.

9.6. In accordance with Article 558(1) of the Civil Code, the Seller’s liability under the warranty for the Product towards a Customer who is not a consumer is excluded.

9.7. In the case of Service Recipients who are not consumers, the Service Provider may terminate the contract for the provision of the Electronic Service with immediate effect and without giving reasons by sending the Service Recipient an appropriate notice.

9.8. The Service Provider’s/Seller’s liability towards a Service User/Customer who is not a consumer, regardless of its legal basis, is limited – both in respect of a single claim and in respect of all claims in aggregate – to the amount of the price paid and the delivery costs under the Sales Contract, but not exceeding one thousand zlotys. The Service Provider/Seller shall be liable to a Service Recipient/Customer who is not a consumer only for typical damages foreseeable at the time of concluding the contract and shall not be liable for loss of profits in relation to a Service Recipient/Customer who is not a consumer.

9.9. Any disputes arising between the Seller/Service Provider and a Customer/Service Recipient who is not a consumer shall be referred to the court having jurisdiction over the registered office of the Seller/Service Provider.

10. FINAL PROVISIONS

10.1. Contracts concluded via the Online Shop are drawn up in Polish.

10.2. Amendments to the Terms and Conditions:

10.2.1. The Service Provider reserves the right to amend these Terms and Conditions for valid reasons, namely: changes in legislation; changes to payment and delivery methods – to the extent that such changes affect the implementation of the provisions of these Terms and Conditions.

10.2.2. In the case of contracts of a continuing nature concluded under these Terms and Conditions (e.g. the provision of the Electronic Service – Account), the amended Terms and Conditions shall be binding on the Customer provided that the requirements set out in Articles 384 and 384[1] of the Civil Code have been met, that is, the Service User has been duly notified of the amendments and has not terminated the contract within 14 calendar days of the date of notification. Should an amendment to the Terms and Conditions result in the introduction of any new charges or an increase in existing charges, the Service User, as a consumer, has the right to withdraw from the contract.

10.2.3. Where contracts of a nature other than ongoing contracts (e.g. a Contract of Sale) are concluded on the basis of these Terms and Conditions, amendments to the Terms and Conditions shall in no way affect the acquired rights of Service Users/Customers who are consumers prior to the date on which the amendments to the Terms and Conditions come into force; in particular, amendments to the Terms and Conditions shall not affect Orders already placed or submitted, or Sales Contracts that have been concluded, are being performed or have been fulfilled.

10.3. In matters not covered by these Terms and Conditions, the generally applicable provisions of Polish law shall apply, in particular: the Civil Code; the Act on the Provision of Electronic Services of 18 July 2002 (Journal of Laws 2002 No. 144, item 1204, as amended); for Sales Contracts concluded up to 24 December 2014 with Customers who are consumers – the provisions of the Act on the Protection of Certain Consumer Rights and on Liability for Damage Caused by a Dangerous Product of 2 March 2000 (Journal of Laws 2000 No. 22, item 271, as amended) and the Act on Special Conditions of Consumer Sales and on Amendments to the Civil Code of 27 July 2002 (Journal of Laws 2002 No. 141, item 1176, as amended); for Sales Contracts concluded on or after 25 December 2014 with Customers who are consumers – the provisions of the Act on Consumer Rights of 30 May 2014 (Journal of Laws 2014, item 827, as amended); and other relevant provisions of generally applicable law.

11. MODEL CONTRACT WITHDRAWAL FORM (ANNEX 2 TO THE CONSUMER RIGHTS ACT)

Model contract withdrawal form

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

– Addressee:

US Clinic Sp. z o.o.

25/1A Mieszczańska Street, 50-201 Wrocław

usclinic.pl

kontakt@usclinic.pl

– I/We() hereby give notice() of my/our withdrawal from the contract of sale for the following goods(), the contract for the supply of the following goods(), the contract for specific work consisting of the performance of the following work()/the provision of the following service()

– Date of conclusion of the contract()/date of collection()

– First name and surname of the consumer(s)

– Address of the consumer(s)

– Signature of the consumer(s) (only if the form is submitted in paper form)

– Date

(*) Delete as appropriate.