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

To: Blue Performance GmbH, Brienner Straße 45d, 80333 Munich, Germany, E-Mail: hi@cardeleine.com

• I/We (*) hereby give notice that I/We (*) withdraw from my/ our (*)

• contract for the provision of the following service:

• Ordered on (*)/Received on (*)

• Name of the consumer(s)

• Address of the consumer(s)

• Signature of the consumer(s) (only in the case of notice on paper)

• Date


(*) Delete as appropriate.