Subscription cancellation (telecom, gym, streaming)

[lieu], 2026-05-27 Sender: [expediteur_nom] [expediteur_adresse] Recipient: [destinataire_nom] Cancellations Service [destinataire_adresse] SUBJECT: Cancellation of my subscription no. [numero_client] Service: [type_service] Dear Sir or Madam, By this letter, I notify you of my wish to cancel the subscription referenced above, subscribed on [date_souscription], with desired effective date on [date_effet_souhaitee]. [motif] In accordance with articles VI.91/8 and VI.91/9 of the Belgian Code of Economic Law (and, for telecommunications services, article 111/3 of the law of 13 June 2005 on electronic communications), I remind you that: 1. Any open-ended contract may be cancelled at any time with a maximum notice period of one month without compensation; 2. After the first 6 months (12 months for certain telecom contracts), the cancellation of a fixed-term contract is free and without penalty; 3. The balance of any sums collected in advance must be refunded to me pro rata for the unused period. I kindly ask you to: - send me an acknowledgment of receipt of this cancellation request; - confirm in writing the effective date of the cancellation; - refund any amount due to the account communicated in our previous exchanges; - for telecom services: confirm that my phone number remains portable and provide me with the portability code. Failing a satisfactory response within 15 days, I reserve the right to refer the matter to the Mediation Service for Telecommunications (www.mediateurtelecom.be) or the Consumer Mediator (www.mediationconsommateur.be) depending on the sector concerned, or even to the Economic Inspectorate of the FPS Economy. Yours faithfully, [expediteur_nom] (signature)