Customer Number): Buchungskontonummer




Дата канвертавання19.04.2016
Памер7.47 Kb.
Cancellation Form

Deutsche Telekom


Please be sure to fill out all of the requested information in order for your cancellation to be processed properly.

129 000 0356

Kundennummer (Kdn Nr) (Customer Number):


Buchungskontonummer (Account Number):

(from Phone Bill)

Telefon Nummer (Phone Number):


Name (Last Name, First Name):


Anschrift (Address):


Keundigungsdatum (Date to be cancelled on):


I am canceling my Internet Service: YES NO (circle one)

I am canceling my Telephone Service: YES NO (circle one)

I want to keep my existing telephone number: YES NO (circle one)

I am canceling my Business Premium Flat Service: YES NO (circle one)

Hiermit bitte ich gleichzeitig um eine schriftliche Bestaetigung meiner Kuendigung. Fuer Ihre Bemuehungen bedanke ich mich im voraus. (With this cancellation I am requesting a written confirmation of my cancellation. Thank you in advance.)



Please sign and date the form and return to Gloria Scioni-Schepp in room G114.
Signature: ______________________________________ Date: _____________________


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