To: Belle Balance, Annabelle Proelss
Landshuter Allee 90, 80637 Munich, Germany
Email: belleproelss@gmail.com

I/we hereby withdraw from the contract I/we concluded for the following service:

Service: ______________________________
Contract date: ______________________________
Consumer name(s): ______________________________
Consumer address: ______________________________
Date: ______________________________
Signature (only for a notice on paper): ______________________________

Delete whichever does not apply.