[COMPANY NAME / FULL NAME]
[STREET]
[POSTCODE CITY]
[COUNTRY]
Represented by: [OWNER NAME]
Contact:
Email: [EMAIL]
Phone: [PHONE]
Registration number / SIRET: [NUMBER]
VAT ID: [VAT ID]
WEEE reg. no.: [NUMBER]
Consumer dispute resolution: We are neither willing nor obliged to participate in dispute resolution proceedings before a consumer arbitration board.