Model Withdrawal Form

Model Withdrawal Form

If you wish to withdraw from the contract, please complete and return this form.

To:

Alexander Konzack, trading as AK-Motion
Weinbergstr. 14
91452 Wilhermsdorf
Germany
Email: info@ak-motion.com

I/We () hereby give notice that I/we () withdraw from my/our (*) contract concerning:

  • the sale of the following goods (*) or

  • the provision of the following service (*):

Ordered on ()/received on ():

Name of consumer(s):

Address of consumer(s):

Date:

Signature of consumer(s), only if this form is submitted on paper:

(*) Delete as appropriate.