First name Last name
Street Number
Postal code City
Driessen Assurantiën
Koninginnegracht 60
2514 AE Den Haag
City, 10-05-2025
Regarding; Termination of Driessen Assurantiën insurance.
Dear sir/madam,
With this letter I want the insurance with the data mentioned per Cancellation date to be canceled.
Name: First name Last name
Address: Street Housenumber
Postal code + City: Postcode Stad
E-mail: Email
The debit authorization must be terminated at the same time.
I look forward to the confirmation and associated final statement of this cancellation.
With kind regards,
First name Last name