aqua med portal for contract termination
(If you would like to switch to another contract, please contact us via e-mail: service@aqua-med.eu)
Click here to terminate the contract
Notice of termination Summary
On , you submitted the following data to us:
First name:
Last name:
Date of birth:
Postcode:
E-mail address:
Contract type:
Desired date:
Reason for termination:
Termination of the contract is to be concluded by "". An automatic confirmation acknowledging receipt of the notice of termination has just been sent to your e-mail address . You can also save the information here.