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Change name of contract in case of death

Will you continue to reside at the same address? Then you can take over the deceased person's contract. We will put the contract for drinking water in your name. Please enter the form below to do so.

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New name for the contract

*

Date of birth

*

Street and house number

*

Postcode and location (optional)

*

Deceased person's customer number (optional)

*

Email address

*

Phone number

*

Bank account number

*

How do you wish to pay? Direct debit per month Direct debit per 3 months Bank transfer per 3 months

Number of people (optional)

*

Berry, the digital assistent