Rental Agreement Skeen Patch


Please take care to fill in this information correctly for your rental contract. Incorrectly filled in contracts will slow down the shipment of your products and will have to be cancelled.

LESSOR
SAS IMANAGEMENT
82 rue Curial
75019 PARIS - France
RCS 450 755 053
xa
LESSEE
Name & First name :
{{billing_first_name}} {{billing_last_name}}
Born on
à
   
  Address: {{billing_address_1}} {{billing_address_2}}
  {{billing_postcode}} {{billing_city}} - {{billing_country}}
  Email : {{billing_email}}
  Phone : {{billing_phone}}
  RENTAL OBJECT: MEDICAL DEVICE SKEEN PATCH BRAND: I.MANAGEMENT TYPE: NEW DEVICE USE: PRIVATE
  Financial Conditions
  Amount paid for your first rent increase : {{order_total}} by {{payment_method}}
  Date of payment or commitment to pay 1st rent : {{order_create_date}}
  Product and Duration : {{product_22698_name}}
  Periodicity : monthly Tariff : {{order_subtotal}}/month
  Method of payment : SEPA Direct Debit to a bank or postal account (SEPA mandate attached)
   
SIGNATURE OF THE PARTIES
SAS IMANAGEMENT
 
 
THE TENANT

signature at the end of the contract

Deposit cheque for
- an Anti-Ageing face set: 789€.
- a Face Elegance set: 559€.
- a BodyCorps SOLO box: 916€.
- a BodyCorps DUO box: 1728€.


64MB max, jpeg, png or pdf


Please fill in the missing information to complete your SEPA to authorise us to take your monthly payment of {{order_subtotal}} over the duration of your contract.

SEPA Direct Debit Mandate - By signing this mandate form, you authorise I.MANAGEMENT to send instructions to your bank to debit your account, and your bank to debit your account in accordance with I.MANAGEMENT's instructions in the rental contract you have signed.
NAME and ADDRESS OF PAYER
{{billing_first_name}} {{billing_last_name}} {{billing_address_1}} {{billing_address_2}} {{billing_postcode}} - {{billing_city}} {{billing_country}}
NAME and ADDRESS OF CREDITOR
I.MANAGEMENT SAS 80 RUE CURIAL 75019 PARIS - FRANCE ICS : FR7122285B69B
IBAN details of the account to be debited
*the bank account must be domiciled in France ** Optional for intra-European Economic Area transactions
IBAN BIC
Identification of the mandate
Unique mandate reference
Type of payment
Recurring
The information contained in this mandate, which must be completed, is intended to be used by the creditor only within the framework of the product rental contract with his client. In accordance with the " Loi Informatique et Libertés " of the 6th January 1978 modified, you have the right to access, rectify and oppose the data concerning you by writing to I.MANAGEMENT Service Clients Location 80 Rue Curial 75019 - Paris (indicate your name, first name, address, telephone number, attach proof of identity and a copy of your contract).
I.Management SAS with a capital of 13 500,00€, 80 rue Curial - 75019 Paris - 450 755 053 RCS Paris.
NAME and ADDRESS OF PAYER
{{billing_first_name}} {{billing_last_name}} {{billing_address_1}} {{billing_address_2}} {{billing_postcode}} - {{billing_city}} {{billing_country}}
NAME and ADDRESS OF CREDITOR
I.MANAGEMENT SAS 80 RUE CURIAL 75019 PARIS - FRANCE ICS : FR7122285B69B

Leave this empty:

Signature arrow sign here

Signed by Phuong Nguyen for I.Management
Signed On: 11/07/2022


Signature Certificate
Document name: Rental Agreement Skeen Patch
lock iconUnique Document ID: d3fa330e8c28377153218e718b7ba6332656d07b
Timestamp Audit
31/10/2019 21 h 26 min CETSkeen Patch Rental Agreement Downloaded by Phuong Nguyen on behalf of I.Management - shop@myskeenpatch.com IP 2a01:e0a:1aa:2610:55ca:ab4a:64d3:c3ed