Cancel membership

Cancel your membership – enter your details, sign digitally, done. We forward everything to the burial fund and confirm receipt to you.

SEPA mandate Change of address Correct my details Cancellation

Your details

First name * Last name * Membership number (if known) Date of birth (helps us match your policy)

Your address

Street House number Postal code City

Account for the refund (§ 6 of the insurance terms)

IBAN *

BIC (if known) Name of the bank

Account holder (if different)

How you will receive your confirmation

E-mail for the confirmation Mobile number for the WhatsApp confirmation

I hereby cancel my membership in the Vorsorgekasse Hoesch Dortmund with effect from the earliest possible date permitted by the statutes. I am aware that this ends the insurance cover and that the refund pursuant to § 6 of the insurance terms will be transferred to the account stated above. Notes for FURKAN

Signature

Place of signature * Date

Signature * – please sign with your finger in the white box.

After submission, FURKAN Bestattungen prepares your signed document and submits it to the burial fund.

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