Je abonnement opzeggen

Vul dit formulier in om je internet-, tv-, vaste lijn- of gsm-abonnement op te zeggen.

Je persoonlijke gegevens

{{errorMessages.gender.required}} {{errorMessages.gender.pattern}}
{{errorMessages.FirstName.required}} {{errorMessages.FirstName.pattern}} {{errorMessages.FirstName.pattern}} {{errorMessages.FirstName.pattern}} {{errorMessages.FirstName}} {{errorMessages.FirstName.pattern}}
{{errorMessages.LastName.required}} {{errorMessages.LastName.pattern}} {{errorMessages.LastName.pattern}} {{errorMessages.LastName.pattern}} {{errorMessages.LastName}} {{errorMessages.LastName.pattern}}
{{errorMessages.email.required}} {{errorMessages.email.pattern}} Please match the e-mail address above {{errorMessages.email.pattern}} {{errorMessages.email.pattern}} {{errorMessages.email}} {{errorMessages.email.pattern}}
{{errorMessages.phoneNumber.required}} {{errorMessages.phoneNumber.pattern}} {{errorMessages.phoneNumber.pattern}} {{errorMessages.phoneNumber.pattern}} {{errorMessages.phoneNumber}} {{errorMessages.phoneNumber.pattern}}
{{errorMessages.lomKey}} The field is mandatory
Het klantnummer is linksboven terug te vinden op je factuur, onder het documentnummer {{errorMessages.CusI.required}} {{errorMessages.CusI.pattern}} {{errorMessages.CusI.pattern}} {{errorMessages.CusI.pattern}} {{errorMessages.CusI}} {{errorMessages.CusI.pattern}}
Hoofdreden
{{errorMessages.reason.required}}
{{errorMessages.other_reason.required}} {{errorMessages.other_reason.pattern}} {{errorMessages.other_reason.pattern}} {{errorMessages.other_reason.pattern}} {{errorMessages.other_reason}} {{errorMessages.other_reason.pattern}}
Geef aan welke producten je wenst op te zeggen
{{errorMessages.internet_cancel.required}} {{errorMessages.internet_cancel.pattern}}
{{errorMessages.internet1.required}} {{errorMessages.internet1.pattern}} {{errorMessages.internet1.pattern}} {{errorMessages.internet1.pattern}} {{errorMessages.internet1}} {{errorMessages.internet1.pattern}}
{{errorMessages.internet2.required}} {{errorMessages.internet2.pattern}} {{errorMessages.internet2.pattern}} {{errorMessages.internet2.pattern}} {{errorMessages.internet2}} {{errorMessages.internet2.pattern}}
{{errorMessages.internet3.required}} {{errorMessages.internet3.pattern}} {{errorMessages.internet3.pattern}} {{errorMessages.internet3.pattern}} {{errorMessages.internet3}} {{errorMessages.internet3.pattern}}
{{errorMessages.tv_cancel.required}} {{errorMessages.tv_cancel.pattern}}
{{errorMessages.tv_number.required}} {{errorMessages.tv_number.pattern}} {{errorMessages.tv_number.pattern}} {{errorMessages.tv_number.pattern}} {{errorMessages.tv_number}} {{errorMessages.tv_number.pattern}}

Hou je apparatuur goed bij, meer informatie zal volgen via de bevestigingsbrief die je binnenkort in je bus mag verwachten.

{{errorMessages.gsm_cancel.required}} {{errorMessages.gsm_cancel.pattern}}
{{errorMessages.gsm1.required}} {{errorMessages.gsm1.pattern}} {{errorMessages.gsm1.pattern}} {{errorMessages.gsm1.pattern}} {{errorMessages.gsm1}} {{errorMessages.gsm1.pattern}}
{{errorMessages.gsm2.required}} {{errorMessages.gsm2.pattern}} {{errorMessages.gsm2.pattern}} {{errorMessages.gsm2.pattern}} {{errorMessages.gsm2}} {{errorMessages.gsm2.pattern}}
{{errorMessages.gsm3.required}} {{errorMessages.gsm3.pattern}} {{errorMessages.gsm3.pattern}} {{errorMessages.gsm3.pattern}} {{errorMessages.gsm3}} {{errorMessages.gsm3.pattern}}
{{errorMessages.landline_cancel.required}} {{errorMessages.landline_cancel.pattern}}
{{errorMessages.landline1.required}} {{errorMessages.landline1.pattern}} {{errorMessages.landline1.pattern}} {{errorMessages.landline1.pattern}} {{errorMessages.landline1}} {{errorMessages.landline1.pattern}}
{{errorMessages.landline2.required}} {{errorMessages.landline2.pattern}} {{errorMessages.landline2.pattern}} {{errorMessages.landline2.pattern}} {{errorMessages.landline2}} {{errorMessages.landline2.pattern}}
{{errorMessages.landline3.required}} {{errorMessages.landline3.pattern}} {{errorMessages.landline3.pattern}} {{errorMessages.landline3.pattern}} {{errorMessages.landline3}} {{errorMessages.landline3.pattern}}
{{errorMessages.date_cancel.required}} {{errorMessages.date_cancel.pattern}} {{errorMessages.date_cancel.pattern}} {{errorMessages.date_cancel.pattern}} {{errorMessages.date_cancel}} {{errorMessages.date_cancel.pattern}}
{{errorMessages.remark.required}} {{errorMessages.remark.pattern}}

Opgelet: in het spijtige geval van het overlijden van een naaste, kun je diens Scarlet-diensten geheel of gedeeltelijk kosteloos overnemen.

We behandelen je aanvraag binnen één week.
Verzenden

Even geduld, je gegevens worden verwerkt...

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