{"id":6292,"date":"2024-10-15T16:51:54","date_gmt":"2024-10-15T14:51:54","guid":{"rendered":"https:\/\/www.valiente.shop\/?page_id=6292"},"modified":"2024-10-15T16:51:54","modified_gmt":"2024-10-15T14:51:54","slug":"withdrawal-form","status":"publish","type":"page","link":"https:\/\/www.valiente.shop\/fr\/withdrawal-form\/","title":{"rendered":"Withdrawal Form"},"content":{"rendered":"\t<section class=\"section\" id=\"section_1792203299\">\n\t\t<div class=\"bg section-bg fill bg-fill  bg-loaded\" >\n\n\t\t\t\n\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-708279296\">\n\n\t<div id=\"col-241064465\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h1>MODEL WITHDRAWAL FORM<\/h1>\n<p><a href=\"\/wp-content\/uploads\/2021\/04\/Heroepingsformulier_valiente_b2c_april_2021.pdf\">Click here to download the model withdrawal form<\/a><\/p>\n<p>Please use the modal withdrawal form for any withdrawals Complete and return this form only if you wish to withdraw from the contract<\/p>\n<p>To NV PLASTIGI<\/p>\n<p>Lenskensdijk 3<\/p>\n<p>2200 HERENTALS<\/p>\n<p>Belgi\u00eb<\/p>\n<p>Do you have any questions? Contact us:<\/p>\n<p>info@valiente.be<\/p>\n<p>You can also use the digital form below to submit a withdrawal request:<\/p>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n<div class=\"row\"  id=\"row-1529636982\">\n\n\t<div id=\"col-906885940\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3500-o1\" lang=\"nl-NL\" dir=\"ltr\" data-wpcf7-id=\"3500\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/fr\/wp-json\/wp\/v2\/pages\/6292#wpcf7-f3500-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contactformulier\" novalidate=\"novalidate\" data-status=\"init\" data-gtm4wp-form-name=\"Heroepingsformulier\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"3500\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.7\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"nl_NL\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3500-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/fieldset>\n<p><label> Uw naam<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Uw e-mailadres<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label> Onderwerp<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Herroepingsformulier\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Herroepingsformulier\" \/><\/span> <\/label>\n<\/p>\n<p><label> Besteld op<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Besteldatum\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"Besteldatum\" \/><\/span> <\/label>\n<\/p>\n<p><label> Ontvangen op<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Ontvangstdatum\"><input class=\"wpcf7-form-control wpcf7-date wpcf7-validates-as-required wpcf7-validates-as-date\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"date\" name=\"Ontvangstdatum\" \/><\/span> <\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-644\"><span class=\"wpcf7-form-control wpcf7-acceptance optional\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-644\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ik\/Wij (*) deel\/delen (*) u hierbij mede dat ik\/wij (*) onze overeenkomst betreffende de verkoop van de volgende goederen (*)\/levering van de volgende dienst (*) herroep\/herroepen (*)<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> Toelichting op herroeping (vul hier om welk product(en)\/dienst(en) het gaat)<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-message\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" name=\"your-message\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-226\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-226\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">Ondergetekende verklaart dat dit formulier naar waarheid is ingevuld<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Verzenden\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1792203299 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n#section_1792203299 .ux-shape-divider--top svg {\n  height: 150px;\n  --divider-top-width: 100%;\n}\n#section_1792203299 .ux-shape-divider--bottom svg {\n  height: 150px;\n  --divider-width: 100%;\n}\n<\/style>\n\t<\/section>\n\t\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-6292","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Withdrawal Form - Valiente Shop - Verandering vraagt moed<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.valiente.shop\/fr\/withdrawal-form\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Withdrawal Form - Valiente Shop - Verandering vraagt moed\" \/>\n<meta property=\"og:url\" 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