Terms of service
Last updated: 10 August 2026
About these Terms
These Terms and Conditions of Sale and Website Use (“Terms”) apply to:
- your access to and use of https://bonquere.com and any related website, mobile interface or digital service operated by us (together, the “Website”); and
- any order you place through the Website for products offered under the BONQUERÉ brand.
Please read these Terms carefully before using the Website or placing an order.
By placing an order, you confirm that you have read and understood these Terms and agree that they will apply to your purchase. Where the law requires express acceptance, you will be asked to accept these Terms before submitting your order.
These Terms apply only to purchases made by consumers. A “consumer” is an individual acting for purposes that are wholly or mainly outside their trade, business, craft or profession.
Nothing in these Terms limits or excludes any mandatory rights granted to you under applicable consumer law.
Who We Are
The Website and products offered through it are operated and sold by:
Legal name: BONQUERÉ GROUP s.r.o.
Trading name: BONQUERÉ
Legal form: Czech limited liability company (společnost s ručením omezeným; s.r.o.)
Registered office: Varšavská 715/36, Vinohrady, 120 00 Prague 2, Czech Republic
Company registration number (IČO): 29575656
Registration authority: Commercial Register maintained by the Municipal Court in Prague, Section C, File No. 448738
VAT number: [Available Soon]
Email: customer.care@bonquere.com
Telephone: +420 292 333 200
Contact page: /pages/contact
In these Terms, “BONQUERÉ”, “we”, “us” and “our” refer to BONQUERÉ GROUP s.r.o. “You” and “your” refer to the customer or Website user.
The sales contract is concluded between you and BONQUERÉ GROUP s.r.o., unless the checkout clearly identifies another contracting seller before you place your order.
Territorial Scope
We currently accept orders for delivery to the countries listed on our Shipping & Delivery page and presented as available destinations during checkout.
The Website may be accessible from countries to which we do not deliver. Access to the Website does not mean that we offer delivery to every country.
You must select the correct delivery country and use the version of the Website intended for that destination, where applicable.
Orders may be subject to territorial, legal, logistical or product-specific restrictions. Any applicable delivery restrictions will be displayed before you place your order.
Eligibility to Order
You may place an order only if:
- you are at least 18 years old, or otherwise have legal capacity to enter into the contract under the law applicable to you;
- you are acting as a consumer;
- the information you provide is complete, accurate and current;
- you are authorised to use the payment method selected; and
- the order is for personal use and not for unauthorised commercial resale.
We may apply reasonable purchase-quantity limits to protect product availability, prevent fraud or discourage unauthorised resale.
Any applicable quantity limit will be applied transparently and must not restrict your mandatory consumer rights.
Products and Product Information
We take reasonable care to describe and display our products accurately.
Product pages may include information regarding:
- design and appearance;
- colour;
- composition and materials;
- size and fit;
- care instructions;
- availability;
- price;
- applicable promotions;
- delivery restrictions; and
- relevant manufacturer, importer or product-safety information.
Images are provided for illustration. Colours and proportions may vary depending on your device, display settings, lighting and production variations.
Minor differences that do not affect the product’s identity, material characteristics or conformity will not necessarily constitute a defect. This does not affect your rights where goods are materially different from their description, sample or agreed characteristics.
You are responsible for reviewing the product description and selecting the correct size, colour and quantity before submitting your order.
Product Safety and Traceability
We intend to offer only products that comply with applicable product-safety requirements.
Where legally required, the product page, product packaging or accompanying documentation will identify relevant information such as:
- the manufacturer;
- an EU responsible person or importer;
- product identification;
- safety warnings;
- care and use instructions; and
- traceability information.
Please follow all care, use and safety instructions supplied with the product.
Contact us promptly if you believe that a product may be unsafe. Where appropriate, we may request photographs, batch information or other details required to investigate and meet our product-safety obligations.
Accessibility
We aim to make our Website accessible and usable for all customers.
If you experience difficulty accessing any part of the Website or require information in an alternative format, please contact us at customer.care@bonquere.com.
Your Account
You may be able to shop as a guest or through a customer account, depending on the services available on the Website.
You are responsible for:
- providing accurate account information;
- keeping your sign-in credentials secure;
- preventing unauthorised access to your account; and
- notifying us promptly if you suspect misuse.
You must not create an account using another person’s identity or use the Website fraudulently or unlawfully.
We may suspend or restrict an account where reasonably necessary to investigate suspected fraud, security risks, unlawful conduct or a material breach of these Terms. We will not restrict your account arbitrarily and will not affect rights relating to orders already concluded unless legally justified.
You may request closure of your account by following the available account controls or contacting us.
Account closure does not automatically erase information that we are legally required or entitled to retain, including transaction, tax, fraud-prevention and legal-claims records.
How to Place an Order
To place an order, you will ordinarily be asked to:
- select a product and available options;
- add the product to your shopping bag;
- provide delivery and billing information;
- choose an available delivery method;
- choose an available payment method;
- review the products, quantities, prices, delivery charges and total amount;
- correct any input errors;
- acknowledge these Terms and any applicable policies; and
- select the button that clearly indicates that placing the order creates an obligation to pay.
Products placed in your shopping bag are not reserved until the order has been accepted.
Before submitting your order, you will have an opportunity to review and correct the information entered.
The final checkout page will show the total price payable, including applicable taxes, delivery costs and other charges disclosed before purchase. The order button or similar function will clearly indicate that submitting the order creates an obligation to pay.
Order Acknowledgement and Contract Formation
After you submit an order, we will send an electronic acknowledgement confirming that we have received it.
Unless the acknowledgement expressly states otherwise, it does not mean that we have accepted your order.
The contract between you and us is formed when we send you a dispatch confirmation stating that the products have been shipped. The automated order acknowledgement confirms only that we have received your order and does not constitute acceptance.
If products from one order are dispatched separately, a separate contract is formed for each product when we send the dispatch confirmation for that product.
Authorisation or collection of payment before dispatch does not, by itself, constitute acceptance of your order.
The contract applies only to the products expressly accepted.
We recommend that you retain the order acknowledgement, acceptance confirmation, these Terms and any relevant policies for your records.
We will provide the required contract information in a durable form, such as email.
Reasons We May Decline or Cancel an Order
We may decline or cancel an order before acceptance for a legitimate reason, including where:
- the product is unavailable;
- payment is not authorised;
- the delivery address is outside our supported area;
- the price or product information contains an obvious and genuine error;
- we reasonably suspect fraud, unlawful activity or unauthorised resale;
- a purchase limit has been exceeded;
- a sanctions or trade restriction applies; or
- we are legally prohibited from supplying the product.
If payment has already been collected for an order that we do not accept, we will refund the relevant amount without undue delay using the original payment method, unless otherwise agreed and legally permitted.
We will not cancel an accepted order arbitrarily. Cancellation after contract formation is subject to these Terms and applicable law.
Availability
All products are subject to availability.
We may not be able to fulfil an order where:
- stock information was inaccurate;
- an item was damaged before dispatch;
- simultaneous orders exhausted available stock;
- a supplier or fulfilment issue prevents supply; or
- legal or shipping restrictions apply.
If an accepted product becomes unavailable, we will notify you and offer an appropriate remedy, such as:
- cancellation and a full refund;
- fulfilment of the remaining products, where appropriate; or
- an alternative product, but only with your agreement.
We will not substitute a product without your express consent.
Prices, Taxes and Charges
Prices are shown in the currency displayed for your selected delivery market and include applicable VAT or sales tax where required.
Before you place the order, checkout will display:
- the product price;
- applicable discounts;
- taxes;
- delivery charges;
- any additional charges you expressly selected; and
- the total amount payable.
You will not be charged an additional amount that was not disclosed before the order was submitted.
Optional paid services must be selected through your express consent. Pre-selected paid options will not be treated as valid consent.
Pricing Errors
We make reasonable efforts to ensure that prices are accurate.
If we identify an obvious pricing error before accepting your order, we may:
- contact you and ask whether you wish to proceed at the correct price; or
- reject or cancel the affected item and refund any amount collected.
We will not rely on a minor or non-obvious error to avoid an otherwise valid contract unfairly.
Nothing in this section limits rights you may have under mandatory law.
Promotions and Discount Codes
Promotions may be governed by additional terms displayed with the offer.
Unless otherwise stated:
- promotions apply only during the stated period;
- eligibility and product exclusions may apply;
- discount codes must be entered before checkout is completed;
- one code may be used per order;
- discounts cannot be applied retrospectively;
- promotions cannot be exchanged for cash;
- availability may be limited; and
- returns may reduce or remove a promotion where the remaining order no longer satisfies its conditions.
Promotional terms will not restrict mandatory withdrawal, refund or conformity rights.
Where a price reduction is advertised, any legally required prior-price information will be displayed in accordance with applicable law.
Payment
The payment methods currently available for your order are displayed during checkout.
Payment services may be provided by third-party payment processors. Their processing of personal data is governed by the applicable privacy information.
You confirm that:
- you are authorised to use the selected payment method;
- the billing information is accurate; and
- sufficient funds or credit are available.
Depending on the payment method, payment may be authorised or collected when you submit the order. Collection of payment does not constitute acceptance. If we do not accept the order, any amount collected will be refunded without undue delay using the original payment method, unless otherwise agreed and legally permitted.
We may conduct lawful fraud-prevention and payment-verification checks.
We do not impose unlawful surcharges for consumer debit or credit card use.
Additional authentication may be required by your payment provider under applicable payment-security rules.
Delivery
We deliver to the destinations and using the options displayed during checkout.
Available methods, estimated delivery periods and charges are described on our Shipping & Delivery page and confirmed before you place your order.
Estimated dates are estimates unless we expressly agree that a date is guaranteed or essential.
Unless another period has been agreed, goods must generally be delivered without undue delay and no later than 30 days after conclusion of the contract.
You are responsible for supplying a complete and accurate delivery address.
We may contact you where additional information is needed to complete delivery.
Delivery Delays
If delivery is delayed, we will provide available information and an updated estimate where reasonably possible.
If we fail to deliver within the agreed period, or within 30 days where no other period was agreed, you may ask us to deliver within an additional reasonable period.
If we still fail to deliver within that additional period, you may be entitled to terminate the contract and receive a refund.
An additional period may not be required where:
- we have refused to deliver;
- delivery by the agreed date was essential in the circumstances; or
- you informed us before contracting that delivery by that date was essential.
These rights apply in addition to any stronger rights under applicable national law.
Risk and Ownership
We bear the risk of loss or damage until you, or a person identified by you other than the carrier, takes physical possession of the products.
If you independently appoint a carrier that was not offered by us, risk may transfer when the goods are handed to that carrier, to the extent permitted by law.
Legal ownership of the products passes to you at the later of:
- receipt of full payment; and
- delivery of the products,
unless mandatory law provides otherwise.
Right of Withdrawal
Where the statutory EU withdrawal right applies, you may withdraw from the contract without giving a reason within 14 days.
For a contract covering one product, the withdrawal period expires 14 days after the day on which you, or a person nominated by you other than the carrier, takes physical possession of the product.
Where multiple products ordered together are delivered separately, the period generally begins when you receive the final product, lot or piece.
To exercise your right, you must inform us of your decision through a clear statement before the withdrawal period expires.
If we fail to provide the legally required information about the right of withdrawal, the withdrawal period will be extended to the extent required by applicable law.
You may:
- contact us at customer.care@bonquere.com;
- use the return method described on /pages/returns-exchanges;
- send the model withdrawal form in Annex 1; or
- use another unequivocal statement identifying the order and your decision to withdraw.
Returning Products After Withdrawal
After notifying us of withdrawal, you must return the products without undue delay and no later than 14 days after communicating your decision, unless we have offered to collect them.
Return products to:
BONQUERÉ GROUP s.r.o.
[COMING SOON]
Follow the reasonable return instructions provided on our Returns & Exchanges page.
Unless we agree to pay the return costs, you are responsible for the direct cost of returning products under the statutory withdrawal right, provided we informed you of this before purchase.
If we failed to inform you in advance that you must bear the direct return cost, we will bear that cost to the extent required by law.
You are responsible only for any diminished value resulting from handling beyond what is necessary to establish the nature, characteristics and functioning of the products.
You may inspect clothing as you reasonably would in a physical store, but should not wear it beyond what is necessary to assess fit, appearance and characteristics.
Withdrawal Refunds
When you validly withdraw, we will reimburse:
- the purchase price of the returned products; and
- the cost of the least expensive standard delivery method offered for the order, where legally required.
We do not have to reimburse the extra cost of a premium delivery option that you selected instead of the least expensive standard option.
We will make the reimbursement without undue delay and no later than 14 days after being informed of your decision to withdraw.
For goods, we may withhold reimbursement until:
- we have received the products; or
- you provide evidence that you returned them,
whichever occurs first.
Refunds will normally be made using the original payment method unless you expressly agree otherwise. You will not incur a fee from us for the reimbursement.
Where only part of an order is returned, the original delivery charge may not be refundable where the same delivery charge would have been incurred for the products kept.
Exceptions to the Withdrawal Right
The statutory withdrawal right may not apply to certain products, including:
- products made to your specifications or clearly personalised;
- sealed products that are not suitable for return for health-protection or hygiene reasons once unsealed;
- products that are liable to deteriorate or expire rapidly;
- products that have become inseparably mixed with other items after delivery; and
- other goods or services specifically excluded by applicable law.
Any applicable exclusion will be clearly identified before purchase.
A product will not be excluded merely because it is clothing, underwear, swimwear or an accessory. A hygiene-related exclusion will be applied only where the legal conditions for that exclusion are met, such as where a legally relevant seal has been removed.
This section does not limit your rights regarding faulty, unsafe or non-conforming products.
Additional Voluntary Returns Policy
We may offer a voluntary returns period in addition to the statutory withdrawal right. Any such offer, including its duration, eligible territories, return method and allocation of return costs, will be stated on our Returns & Exchanges page.
A voluntary policy may impose reasonable conditions, such as requiring the product to be unworn, unwashed, undamaged and accompanied by original labels. Those additional conditions apply only to the voluntary return right and do not reduce your statutory withdrawal or conformity rights.
Where the voluntary policy is more generous than the statutory minimum, the more favourable voluntary policy applies according to its stated conditions.
Faulty or Non-Conforming Products
Products must conform to the contract and possess the characteristics, quality, functionality, compatibility, durability and safety that you may reasonably expect under applicable law.
A product may be non-conforming where, for example, it:
- is defective;
- is materially different from its description;
- does not match an agreed sample or model;
- is not fit for an agreed or ordinary purpose;
- lacks promised accessories or instructions; or
- does not meet applicable legal requirements.
Please contact us at customer.care@bonquere.com and provide:
- your order number;
- a description of the issue;
- photographs where reasonably useful; and
- any other information needed to assess the claim.
We may ask you to return the product for inspection at our cost.
When you submit a complaint concerning a defective or non-conforming product, we will provide the confirmations and records required by applicable law, including confirmation of receipt and confirmation of how and when the complaint was resolved.
Legal Guarantee of Conformity
Consumers purchasing goods in the EU benefit from a legal guarantee of conformity of at least two years from delivery. Some national laws provide longer protection.
Where goods are non-conforming, you may be entitled to remedies including:
- repair;
- replacement;
- an appropriate price reduction; or
- termination of the contract and reimbursement,
subject to the conditions and order of remedies under applicable law.
Repair or replacement must be provided free of charge, within a reasonable time and without significant inconvenience where required by law.
These statutory rights exist independently of any manufacturer’s warranty or commercial guarantee.
Commercial Guarantees
A product may include a separate commercial or manufacturer’s guarantee.
Any commercial guarantee:
- is additional to your statutory rights;
- does not replace or restrict the legal guarantee;
- applies according to its written terms; and
- identifies the guarantor and claim procedure.
Do not rely solely on a commercial guarantee if you wish to exercise legal rights against us as the seller.
Exchanges
We do not currently offer direct exchanges. You may return an eligible product for a refund and place a new order for the preferred size, colour or product.
This section does not affect your statutory remedies for non-conforming goods.
Gift Cards
If gift cards are offered on the Website, they are governed by the additional terms presented at purchase.
Those terms will identify:
- the issuer;
- validity period;
- permitted territories and currencies;
- redemption methods;
- exclusions;
- balance treatment;
- loss or theft rules; and
- any statutory cancellation rights.
Gift cards are not redeemable for cash except where required by law.
Customs and Import Charges
For deliveries outside the EU customs territory, where offered, import VAT, customs duties, handling fees or other charges may apply.
Checkout will state whether such charges are:
- included and collected by us;
- collected by the carrier or local authority; or
- payable by you upon import.
We will not describe a shipment as duties-paid unless all relevant import charges are actually included.
Where you are responsible for import charges, this will be disclosed before you place the order.
Website Licence
We grant you a limited, revocable, non-exclusive and non-transferable right to access and use the Website for personal, lawful and non-commercial purposes.
This permission does not transfer ownership of the Website or its content.
You may not use the Website in a way that:
- violates applicable law;
- infringes intellectual-property or privacy rights;
- interferes with security or operation;
- introduces malicious code;
- attempts unauthorised access;
- scrapes or extracts data at an unreasonable scale;
- impersonates another person;
- enables fraud;
- circumvents purchase restrictions; or
- exploits the Website for unauthorised commercial resale.
Reasonable use of publicly accessible content for personal reference is not prohibited by this section.
Intellectual Property
The Website and its contents—including text, photographs, product imagery, videos, graphics, logos, trade marks, designs, software, layout and code—are owned by or licensed to BONQUERÉ GROUP s.r.o. and are protected by applicable intellectual-property laws.
Nothing in these Terms grants you ownership of those rights.
You may view and make limited copies of Website content for personal, non-commercial use, provided you do not:
- remove proprietary notices;
- alter the content;
- publish it as your own;
- use it commercially; or
- imply endorsement or affiliation.
Use of the BONQUERÉ name, logo or trade marks requires prior written permission unless permitted by law.
Reviews and User Content
If the Website allows you to submit a review, image, comment or other content, you confirm that:
- you created it or have permission to submit it;
- it is accurate to the best of your knowledge;
- it does not infringe third-party rights;
- it is not unlawful, abusive, discriminatory or misleading; and
- any material connection, incentive or free product is disclosed where required.
You grant us a non-exclusive licence to host, display, reproduce and moderate the content for operating and promoting the Website and products, subject to applicable law and our Privacy Policy.
We may remove content that breaches these standards but are not obliged to publish every submission.
We will not present reviews as verified purchases unless appropriate verification has taken place.
Third-Party Links and Services
The Website may link to third-party websites, payment services, delivery services or social platforms.
Third-party services are governed by their own terms and privacy notices.
We are not responsible for third-party content or services merely because the Website provides a link, except where liability cannot lawfully be excluded or where the third party acts on our behalf in performing our contractual obligations.
Our responsibility for delivery, payment refunds and consumer remedies is not avoided merely because we use a service provider.
Privacy and Cookies
We process personal data in accordance with our Privacy Policy:
Information about cookies and similar technologies is available in our Cookie Policy:
Where consent is required, non-essential cookies will not be used unless valid consent has been obtained.
These Terms do not replace the Privacy Policy or Cookie Policy.
Liability
Nothing in these Terms excludes or limits liability where exclusion or limitation is prohibited, including liability for:
- death or personal injury caused by negligence;
- fraud or fraudulent misrepresentation;
- deliberate misconduct;
- breach of mandatory consumer rights;
- defective products where statutory product-liability rules apply; or
- any other liability that cannot legally be excluded.
Subject to the above, we are responsible for foreseeable loss or damage caused by our breach of contract or failure to use reasonable care and skill.
Loss is foreseeable where it was an obvious consequence of the breach or was contemplated by both parties when the contract was made.
Because we sell to consumers, we are not responsible for business losses such as loss of profit, revenue, business, opportunity or commercial data where the purchase was made wholly for personal purposes.
Nothing in this section reduces your right to receive a refund, repair, replacement, price reduction or other mandatory remedy.
Events Beyond Reasonable Control
We are not responsible for delay or failure caused by an event genuinely beyond our reasonable control, such as:
- natural disasters;
- war or civil emergency;
- widespread transport disruption;
- major telecommunications failure;
- government action;
- epidemic restrictions;
- industrial action not limited to our own workforce; or
- other comparable events.
This does not permit us to retain payment indefinitely without supplying the product.
If such an event materially delays performance, we will inform you and take reasonable steps to minimise the effect.
Where performance becomes impossible or is delayed beyond the period allowed by law, you may be entitled to terminate the contract and receive a refund.
Complaints
Please contact our Client Care team first so that we can try to resolve the matter:
Email: customer.care@bonquere.com
Telephone: +420 292 333 200
Postal address: BONQUERÉ GROUP s.r.o., Varšavská 715/36, Vinohrady, 120 00 Prague 2, Czech Republic
Contact form: /pages/contact
Please provide your name, order number, contact details and a clear description of the issue.
We aim to acknowledge complaints without undue delay. Where Czech law requires a consumer complaint to be resolved within 30 days, we will resolve it and inform you within that period unless you agree to a longer period.
Your statutory rights are not affected by our internal complaints process.
Alternative Dispute Resolution
If we cannot resolve a consumer dispute directly, you may submit a proposal for out-of-court dispute resolution to:
ADR entity: Czech Trade Inspection Authority (Česká obchodní inspekce)
Address: Gorazdova 1969/24, 120 00 Prague 2, Czech Republic
Website: https://coi.gov.cz/en/information-about-adr/
ADR submission form: https://coi.gov.cz/alternative-dispute-resolution-for-consumer-disputes-adr/
We will cooperate with the ADR entity to the extent required by applicable law. The ADR procedure is intended to facilitate an amicable settlement; the authority does not issue a binding decision on the merits of the dispute.
A proposal should generally be submitted within one year after you first asserted the relevant claim with us, subject to the applicable ADR rules.
Governing Law
These Terms and contracts concluded under them are governed by the laws of the Czech Republic.
However, this choice of law does not deprive you of mandatory consumer protection afforded by the law of the country in which you habitually reside where that protection applies.
The United Nations Convention on Contracts for the International Sale of Goods does not apply, to the extent that its exclusion is legally effective.
Jurisdiction
Nothing in these Terms restricts your right to bring proceedings in a court that has jurisdiction under applicable consumer law.
Where you are an EU consumer, you may generally be entitled to bring proceedings in the courts of the country where you are domiciled.
We will bring proceedings against a consumer only in a court permitted by mandatory jurisdiction rules.
Any reference to the courts of the Czech Republic is non-exclusive where consumer law grants you another competent forum.
Changes to These Terms
We may update these Terms to reflect:
- changes in law;
- changes to the Website or services;
- new payment or delivery arrangements;
- security requirements; or
- reasonable operational changes.
The Terms applicable to your purchase are those provided or made available when the contract was concluded.
A later change will not retroactively alter an existing order unless:
- required by law;
- expressly agreed with you; or
- it benefits you without reducing your rights.
The current version and update date will remain available on the Website.
Severability
If a court or competent authority determines that a provision of these Terms is invalid, unlawful or unenforceable, that provision will be treated as modified or removed only to the minimum extent necessary.
The remaining provisions will continue in effect.
No Waiver
If we delay or fail to enforce a provision, this does not mean that we waive the right to enforce it later.
Any waiver applies only to the specific circumstances in which it was given.
Transfer of Rights
We may transfer our rights or obligations under these Terms to another organisation as part of a merger, restructuring, sale or lawful business transfer, provided this does not reduce your consumer rights.
You may transfer your rights where permitted by law. We may require reasonable evidence of the transfer.
Entire Agreement
These Terms, together with the information incorporated into the contract—including the product description, order confirmation and applicable Shipping, Returns, Privacy and Cookie policies—form the agreement governing your order.
Nothing in this section excludes liability for fraud or prevents reliance on mandatory consumer rights.
Language
These Terms are available in English. If we provide a translation, the translated version is intended to help customers understand the Terms. No language clause deprives a consumer of mandatory rights or the right to receive legally required information in a language required by applicable national law.
Contact
For questions about these Terms or an order, contact:
BONQUERÉ Client Care
BONQUERÉ GROUP s.r.o.
Varšavská 715/36, Vinohrady, 120 00 Prague 2, Czech Republic
Email: customer.care@bonquere.com
Telephone: +420 292 333 200
Contact form: /pages/contact
ANNEX 1 — MODEL WITHDRAWAL FORM
Complete and return this form only if you wish to withdraw from the contract.
To:
BONQUERÉ GROUP s.r.o.
[RETURN OR WITHDRAWAL ADDRESS, INCLUDING COUNTRY]
customer.care@bonquere.com
I/We hereby give notice that I/We withdraw from my/our contract of sale for the following goods:
[DESCRIPTION OF PRODUCT(S)]
Ordered on:
[DATE]
Received on:
[DATE]
Order number:
[ORDER NUMBER]
Name of consumer(s):
[NAME]
Address of consumer(s):
[ADDRESS]
Signature of consumer(s), only if submitted on paper:
[SIGNATURE]
Date:
[DATE]
Delete as appropriate.