First name Last name
Street Number
Postal code City
Huismerk Energie
Attn. Klantenservice
Kerkenbos 1057
6546 BB Nijmegen
City, 13-12-2024
Regarding; Due to my move, I am forced to terminate my contract.
Dear sir/madam,
With this letter I want the subscription 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