(If you want to withdraw from the contract, please fill out this form and send it back.)
To Seifert AviationSoftware, Am Ziegelland 47, 85604 Zorneding, Germany, software@seifert-aviation.de:
— I hereby give notice that I withdraw from my contract for the subscription/token package to ScreenLab.
— Ordered on / received on: ____________
— Name of consumer: ____________
— Address of consumer: ____________
— Date: ____________