{"id":30350,"date":"2025-12-27T17:18:04","date_gmt":"2025-12-27T20:18:04","guid":{"rendered":"https:\/\/bcult.novosite.top\/?page_id=30350"},"modified":"2025-12-27T19:22:08","modified_gmt":"2025-12-27T22:22:08","slug":"withdrawal-form","status":"publish","type":"page","link":"https:\/\/cult.novosite.top\/fr\/withdrawal-form\/","title":{"rendered":"Withdrawal Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"30350\" class=\"elementor elementor-30350\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5f62f8a e-flex e-con-boxed e-con e-parent\" data-id=\"5f62f8a\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1d32296 elementor-widget elementor-widget-heading\" data-id=\"1d32296\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Withdrawal Form<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c94b229 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"c94b229\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-deb2886 color-scheme-inherit text-left elementor-widget elementor-widget-text-editor\" data-id=\"deb2886\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>If you want to withdraw from the contract, please fill out this form and return it to us.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eabcb27 bcult-form-reset elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"eabcb27\" data-element_type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\"Withdrawal Form\" aria-label=\"Withdrawal Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"30350\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"eabcb27\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Withdrawal FormbCult\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"30350\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_791dfe0 elementor-col-100\">\n\t\t\t\t\t<strong>To:<\/strong><br>\nBcult. de Oliveira Haddouche<br>\nJosefstrasse 52<br>\n8005 Zurich, Switzerland<br>\nE-mail: info@bcult.ch\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-message elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-message\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tMessage:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[message]\" id=\"form-field-message\" rows=\"4\">I\/we () hereby withdraw from the contract concluded by me\/us () for the purchase of the following goods () \/ the provision of the following service (): <\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-radio elementor-field-group elementor-column elementor-field-group-field_e05b3e2 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e05b3e2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tPlease select the applicable date:\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Ordered on (if the product has not been received yet)\" id=\"form-field-field_e05b3e2-0\" name=\"form_fields[field_e05b3e2]\"> <label for=\"form-field-field_e05b3e2-0\">Ordered on (if the product has not been received yet)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"radio\" value=\"Received on (if the product has already been delivered)\" id=\"form-field-field_e05b3e2-1\" name=\"form_fields[field_e05b3e2]\"> <label for=\"form-field-field_e05b3e2-1\">Received on (if the product has already been delivered)<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_2eb4c39 elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2eb4c39\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_2eb4c39]\" id=\"form-field-field_2eb4c39\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"(ordered or received)\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName of consumer(s):\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Full name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_0aa234c elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0aa234c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tEmail of consumer(s):\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_0aa234c]\" id=\"form-field-field_0aa234c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-email elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-email\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tAddress of consumer(s):\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[email]\" id=\"form-field-email\" rows=\"4\" placeholder=\"Address \" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-field_8492af9 elementor-col-100 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_8492af9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSignature of consumer(s) (only for communication on paper):\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[field_8492af9]\" id=\"form-field-field_8492af9\" rows=\"4\" placeholder=\"Sign here.\" required=\"required\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_9516eff elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9516eff\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tDate of withdrawal request\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_9516eff]\" id=\"form-field-field_9516eff\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_9f8f247 elementor-col-100\">\n\t\t\t\t\t(*) Delete as appropriate.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Withdrawal Form If you want to withdraw from the contract, please fill out this form and return it to us.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-30350","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/cult.novosite.top\/fr\/wp-json\/wp\/v2\/pages\/30350","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cult.novosite.top\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/cult.novosite.top\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/cult.novosite.top\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cult.novosite.top\/fr\/wp-json\/wp\/v2\/comments?post=30350"}],"version-history":[{"count":37,"href":"https:\/\/cult.novosite.top\/fr\/wp-json\/wp\/v2\/pages\/30350\/revisions"}],"predecessor-version":[{"id":30541,"href":"https:\/\/cult.novosite.top\/fr\/wp-json\/wp\/v2\/pages\/30350\/revisions\/30541"}],"wp:attachment":[{"href":"https:\/\/cult.novosite.top\/fr\/wp-json\/wp\/v2\/media?parent=30350"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}