Cancellation form


Sample withdrawal form

(If you wish to withdraw the contract, please fill in this form and send it back to us.)


MEDIAdorado Ltd.
Alteburger Str. 212
D - 50968 Köln

Fax: 0221 / 27907249


I/We (*) hereby withdraw the contract entered into for the sale of the following goods (*) / the provision of the following services (*):


Ordered on (*) / Received on (*)

Name of the consumer(s)

Address of the consumer(s)

Signature of the consumer(s) (only for communication on paper)




(*) delete where inapplicable