Pick-up address: street name + house nr, postcode and place

Telephone number

Which appliance do you want to cancel

Washing machine
Dryer
Dishwasher
Multiple, namely…

Cancellation reason

I’m moving to another location with an appliance present
I’m moving abroad
I bought an appliance
Homie is too expensive for me
Other, namely

Pick-up date preference (please note our month cancellation period)

Urgent request (pick-up within a week. Additional costs: €50,-)
Within 30 days
Other, namely