{"id":1197,"date":"2016-10-11T17:33:28","date_gmt":"2016-10-11T15:33:28","guid":{"rendered":"https:\/\/www.wellbox.fr\/?page_id=1197"},"modified":"2023-03-07T15:34:37","modified_gmt":"2023-03-07T14:34:37","slug":"retractation","status":"publish","type":"page","link":"https:\/\/www.wellbox.be\/fr\/retractation\/","title":{"rendered":"Formulaire de R\u00e9tractation"},"content":{"rendered":"<p>Vous disposez d\u2019un d\u00e9lai de 14 jours \u00e0 compter de la r\u00e9ception des produits que vous avez command\u00e9s \u00e0 LPG SYSTEMS pour exercer votre droit de r\u00e9tractation (<a style=\"text-decoration: underline;\" href=\"https:\/\/estore.wellbox.fr\/conditions-generales-de-vente#retractation\" target=\"_blank\" rel=\"noopener\">Pour en savoir plus<\/a> ).<\/p>\n<h2 style=\"text-align: center;\"><\/h2>\n<div style=\"border: 1px solid #606060; padding: 5%; margin-bottom: 20px;\">\n<h2><em>En imprimant le mod\u00e8le de formulaire \u00e0 t\u00e9l\u00e9charger, <\/em><em>\u00e0 renvoyer par courrier postal \u00e0 l&rsquo;adresse suivante :<\/em><\/h2>\n<p>LPG BENELUX SPRL<br \/>\n1620 Drogenbos<br \/>\nBoulevard de l&rsquo;Humanit\u00e9 235<br \/>\nBelgique<\/p>\n<p style=\"text-align: center;\"><strong><a href=\"https:\/\/www.wellbox.fr\/wp-content\/uploads\/2023\/03\/Formulaire_retractation_wellbox_be.pdf\" target=\"_blank\" rel=\"noopener\"><input id=\"gform_submit_button_7\" class=\"gform_button button\" tabindex=\"11\" type=\"submit\" value=\"T\u00e9l\u00e9charger le formulaire\"><\/a><br \/>\n<\/strong><\/p>\n<\/div>\n<div style=\"border: 1px solid #606060; padding: 5%;\">\n<h2><em>Ou en compl\u00e9tant le formulaire ci-dessous :<\/em><\/h2>\n<p>Je vous notifie par la pr\u00e9sente ma r\u00e9tractation du contrat portant sur la vente du (des) bien(s) ci-dessous :<\/p>\n<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_4' ><form method='post' enctype='multipart\/form-data'  id='gform_4'  action='\/fr\/wp-json\/wp\/v2\/pages\/1197' data-formid='4' ><div class='gf_invisible ginput_recaptchav3' data-sitekey='6Lea2-oeAAAAAILD6FZoZ4XAJo2-LdpFLdG_ZByA' data-tabindex='0'><input id=\"input_86289fe03e1c7912970ed7563d443758\" class=\"gfield_recaptcha_response\" type=\"hidden\" name=\"input_86289fe03e1c7912970ed7563d443758\" value=\"\"\/><\/div>\n                        <div class='gform-body gform_body'><ul id='gform_fields_4' class='gform_fields top_label form_sublabel_below description_below'><li id=\"field_4_13\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_13\"><label class='gfield_label gform-field-label' for='input_4_13' >DATE ACHAT<\/label><div class='ginput_container ginput_container_text'><input name='input_13' id='input_4_13' type='text' value='' class='medium'    placeholder='DATE ACHAT'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_6\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_6\"><label class='gfield_label gform-field-label' for='input_4_6' >COMMANDE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_4_6' type='text' value='' class='medium'    placeholder='N\u00b0 COMMANDE' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_9\"  class=\"gfield gfield--type-text field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_9\"><label class='gfield_label gform-field-label' for='input_4_9' >DATE RECEPTION<\/label><div class='ginput_container ginput_container_text'><input name='input_9' id='input_4_9' type='text' value='' class='medium'    placeholder='DATE DE RECEPTION'  aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_21\"  class=\"gfield gfield--type-textarea gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_21\"><label class='gfield_label gform-field-label' for='input_4_21' >Produits concern\u00e9s<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_21' id='input_4_21' class='textarea medium'    placeholder='Liste des produits concern\u00e9s' aria-required=\"true\" aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_4_10\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_10\"><label class='gfield_label gform-field-label' for='input_4_10' >NOM<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_10' id='input_4_10' type='text' value='' class='medium'    placeholder='NOM *' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_19\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_19\"><label class='gfield_label gform-field-label' for='input_4_19' >PRENOM<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_19' id='input_4_19' type='text' value='' class='medium'    placeholder='PRENOM *' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_8\"  class=\"gfield gfield--type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_8\"><label class='gfield_label gform-field-label' for='input_4_8' >EMAIL<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_8' id='input_4_8' type='text' value='' class='medium'   placeholder='EMAIL *' aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_4_16\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_16\"><label class='gfield_label gform-field-label' for='input_4_16' >ADRESSE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_16' id='input_4_16' type='text' value='' class='medium'    placeholder='ADRESSE *' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_17\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_17\"><label class='gfield_label gform-field-label' for='input_4_17' >CODE POSTAL<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_17' id='input_4_17' type='text' value='' class='medium'    placeholder='CODE POSTAL *' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_18\"  class=\"gfield gfield--type-text gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_18\"><label class='gfield_label gform-field-label' for='input_4_18' >VILLE<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_18' id='input_4_18' type='text' value='' class='medium'    placeholder='VILLE *' aria-required=\"true\" aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_4_22\"  class=\"gfield gfield--type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_22\"><div style=\"font-size: 10px;\">\nVous acceptez que les informations \u00e0 caract\u00e8re personnel vous concernant, recueillies par la soci\u00e9t\u00e9 LPG SYSTEMS par le biais du pr\u00e9sent formulaire, fassent l\u2019objet d\u2019un traitement par des moyens automatis\u00e9s ou non automatis\u00e9s (si ces donn\u00e9es \u00e0 caract\u00e8re personnel sont contenues ou appel\u00e9es \u00e0 figurer dans un fichier) aux fins de traiter votre demande de r\u00e9tractation.\nVous pouvez revenir sur votre accord et retirer votre consentement \u00e0 tout moment.\n\nLes informations \u00e0 caract\u00e8re personnel vous concernant sont destin\u00e9es \u00e0 la soci\u00e9t\u00e9 LPG SYSTEMS, qui est le responsable du traitement, \u00e0 sa filiale LPG BENELUX et \u00e0 ses sous-traitants au sens de l\u2019article 28 du R\u00e8glement europ\u00e9en sur la protection des donn\u00e9es (RGPD) respectivement soumis aux dispositions nationales et europ\u00e9ennes relatives \u00e0 la protection des donn\u00e9es \u00e0 caract\u00e8re personnel. \n\nCes donn\u00e9es seront conserv\u00e9es pendant toute la dur\u00e9e n\u00e9cessaire aux op\u00e9rations aux fins desquelles elles ont \u00e9t\u00e9 collect\u00e9es. \n\nEn soumettant ce formulaire, vous d\u00e9clarez avoir b\u00e9n\u00e9fici\u00e9 d\u2019une information compl\u00e8te en langage clair concernant l\u2019usage fait par LPG SYSTEMS et\/ou LPG BENELUX des donn\u00e9es que vous avez mis \u00e0 sa disposition.\n\nConform\u00e9ment aux dispositions de la loi du 8 d\u00e9cembre 1992 relative \u00e0 la protection de la vie priv\u00e9e \u00e0 l\u2019\u00e9gard des traitements de donn\u00e9es \u00e0 caract\u00e8re personnel en vigueur et du R\u00e8glement europ\u00e9en sur la protection des donn\u00e9es (RGPD), vous b\u00e9n\u00e9ficiez d\u2019un droit d\u2019opposition, de limitation, d\u2019acc\u00e8s, de rectification, de portabilit\u00e9, d\u2019effacement des donn\u00e9es vous concernant. \nVous pouvez \u00e9galement faire conna\u00eetre vos instructions concernant la mani\u00e8re dont vous entendez que soient exerc\u00e9s vos droits apr\u00e8s votre d\u00e9c\u00e8s.\n\nDe m\u00eame, vous disposez d\u2019un droit \u00e0 vous inscrire sur une liste d\u2019opposition au d\u00e9marchage t\u00e9l\u00e9phonique.\n\nPour exercer vos droits, vous pouvez effectuer une demande \u00e0 l\u2019adresse \u00e9lectronique dataprivacy@lpgsystems.com ou \u00e0 l\u2019adresse postale : LPG BENELUX\u2013 Service Client Wellbox, Humaniteitslaan 235 \u2013 1620 DROGENBOS, Belgique.\n\nConform\u00e9ment \u00e0 la r\u00e9glementation en vigueur, toute demande doit \u00eatre sign\u00e9e et accompagn\u00e9e de la photocopie d\u2019un titre d\u2019identit\u00e9 valide et pr\u00e9ciser l\u2019adresse \u00e0 laquelle la soci\u00e9t\u00e9 responsable du traitement doit r\u00e9pondre. Une r\u00e9ponse vous sera alors adress\u00e9e dans un d\u00e9lai maximum un (1) mois suivant la r\u00e9ception de votre demande.\nVous avez \u00e9galement la possibilit\u00e9 d\u2019introduire une r\u00e9clamation aupr\u00e8s de la CNIL. \n\nPour toutes informations suppl\u00e9mentaires relatives au traitement de vos donn\u00e9es, merci de consulter les Conditions G\u00e9n\u00e9rales d\u2019Utilisation du pr\u00e9sent site et\/ou notre Politique de protection des donn\u00e9es.\n\n<\/div><\/li><li id=\"field_4_23\"  class=\"gfield gfield--type-checkbox gfield--type-choice gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible\"  data-js-reload=\"field_4_23\"><label class='gfield_label gform-field-label gfield_label_before_complex'  >Protection des donn\u00e9es<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_4_23'><li class='gchoice gchoice_4_23_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_23.1' type='checkbox'  value='Je reconnais avoir re\u00e7u toutes les informations n\u00e9cessaires pour comprendre la\/les finalit\u00e9s du traitement de mes donn\u00e9es personnelles par LPG SYSTEMS et les droits dont je b\u00e9n\u00e9ficie \u00e0 cet \u00e9gard, et je consens \u00e0 la collecte, l&#039;exploitation et\/ou la conservation de mes donn\u00e9es par LPG SYSTEMS'  id='choice_4_23_1'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_4_23_1' id='label_4_23_1' class='gform-field-label gform-field-label--type-inline'>Je reconnais avoir re\u00e7u toutes les informations n\u00e9cessaires pour comprendre la\/les finalit\u00e9s du traitement de mes donn\u00e9es personnelles par LPG SYSTEMS et les droits dont je b\u00e9n\u00e9ficie \u00e0 cet \u00e9gard, et je consens \u00e0 la collecte, l'exploitation et\/ou la conservation de mes donn\u00e9es par LPG SYSTEMS<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><\/ul><\/div>\n        <div class='gform_footer top_label'> <input type='submit' id='gform_submit_button_4' class='gform_button button' value='Envoyer'  onclick='if(window[\"gf_submitting_4\"]){return false;}  window[\"gf_submitting_4\"]=true;  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_4\"]){return false;} window[\"gf_submitting_4\"]=true;  jQuery(\"#gform_4\").trigger(\"submit\",[true]); }' \/> \n            <input type='hidden' class='gform_hidden' name='is_submit_4' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='4' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_4' value='WyJbXSIsIjg0M2IyNWUzZDU4NDhhMDAwMzFlNTZkYTA2N2YxYjA0Il0=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_target_page_number_4' id='gform_target_page_number_4' value='0' \/>\n            <input type='hidden' class='gform_hidden' name='gform_source_page_number_4' id='gform_source_page_number_4' value='1' \/>\n            <input type='hidden' name='gform_field_values' value='' \/>\n            \n        <\/div>\n                        <p style=\"display: none !important;\"><label>&#916;<textarea name=\"ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"ak_js\" value=\"39\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><\/form>\n                        <\/div><script type=\"text\/javascript\">\ngform.initializeOnLoaded( function() {gformInitSpinner( 4, 'https:\/\/www.wellbox.be\/fr\/wp-content\/plugins\/gravityforms\/images\/spinner.svg', true );jQuery('#gform_ajax_frame_4').on('load',function(){var contents = jQuery(this).contents().find('*').html();var is_postback = contents.indexOf('GF_AJAX_POSTBACK') >= 0;if(!is_postback){return;}var form_content = jQuery(this).contents().find('#gform_wrapper_4');var is_confirmation = jQuery(this).contents().find('#gform_confirmation_wrapper_4').length > 0;var is_redirect = contents.indexOf('gformRedirect(){') >= 0;var is_form = form_content.length > 0 && ! 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En imprimant le mod\u00e8le de formulaire \u00e0 t\u00e9l\u00e9charger, \u00e0 renvoyer par courrier postal \u00e0 l&rsquo;adresse suivante : LPG BENELUX SPRL 1620 Drogenbos Boulevard &hellip; <a href=\"https:\/\/www.wellbox.be\/fr\/retractation\/\" class=\"more-link\">Continuer la lecture<span class=\"screen-reader-text\"> de &laquo;&nbsp;Formulaire de R\u00e9tractation&nbsp;&raquo;<\/span><\/a><\/p>\n","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"tpl-contact.php","meta":[],"acf":[],"_links":{"self":[{"href":"https:\/\/www.wellbox.be\/fr\/wp-json\/wp\/v2\/pages\/1197"}],"collection":[{"href":"https:\/\/www.wellbox.be\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.wellbox.be\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.wellbox.be\/fr\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wellbox.be\/fr\/wp-json\/wp\/v2\/comments?post=1197"}],"version-history":[{"count":62,"href":"https:\/\/www.wellbox.be\/fr\/wp-json\/wp\/v2\/pages\/1197\/revisions"}],"predecessor-version":[{"id":2264,"href":"https:\/\/www.wellbox.be\/fr\/wp-json\/wp\/v2\/pages\/1197\/revisions\/2264"}],"wp:attachment":[{"href":"https:\/\/www.wellbox.be\/fr\/wp-json\/wp\/v2\/media?parent=1197"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}