Model withdrawal form

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

ax-lightness composites GmbH
Breiter Anger 1
37115 Duderstadt
Fax: 05527 9965996


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)






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

(*) Delete as appropriate