Withdrawal form

I hereby wish to give notice that I wish to cancel the contract for the supply of my energy product with EnergyVision.

Customer information

My client number

First name

Name

Street

No.

Postal code

City

E-mail address

Reason of my cancellation

Why do I want to cancel my energy contract? (optional)

I confirm my cancellation

Date of today

Signature

Sign above

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

We're sorry you're leaving

But we will continue to help you get everything sorted out. Still have questions about your current energy contract or want more info about your switch?

Get in touch with us

Do you have any quesitons?
Get in touch with us

Withdrawal form

We're sorry you're leaving

Ask your question to the Brusol team

Mail us

Call us

Check our FAQ's