Main page » Model withdrawal form

Withdrawal

Complete and return this form only if you wish to withdraw from the contract.

To

AKDV Automatisierungstechnik GmbH
AKDV Automatisierungstechnik GmbH
Raiffeisenstr. 9
31177 Harsum
Germany

Fax: 05127-21464-6811
E-Mail: tober@akdv.de

Withdrawal

Details to identify the contract

Name of consumer(s)

Firstname

Lastname

Electronic means of communication for us to send you the acknowledgement of receipt of your withdrawal (e.g. email address)

Electronic means of communication

Privacy I have read the privacy notice.

* required