Model withdrawal form

(If you want to withdrawl the contract, please fill out this form and send it back)

To
ax-lightness composites GmbH & Co. KG
Bernd Nolte
Breiter Anger 1
37115 Duderstadt
Fax: 05527 9965996
info@ax-lightness.de

 

I/We (*) hereby give notice that I/We (*) withdraw from my/our (*) contract of sale of the following goods (*)/for the provision of the following service (*),

______________________________________________________________________________________________

 

Ordered on ___________________ (*)/received on _______________________(*)

 

Name of consumer(s) ______________________________________

Address of consumer(s)

_________________________________

_________________________________

_________________________________

 

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Date and Signature of consumer(s) (only if this form is notified on paper) 

(*) Delete as appropriate

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