Model withdrawal form

To
media control GmbH,
Lange Stra├če 33, 76530 Baden-Baden
Fax: +49 (0) 7221-309-199
Tel.: +49 (0) 7221-309-709
Montag bis Freitag 9.00 Uhr bis 16.30 Uhr
E-Mail: ebook@media-control.de

I hereby give notice that I withdraw from my contract of sale of the following goods:

*delete as appropriate



Your address data: