Pati-Versand
Download App now!

Withdrawal form

Use this form to submit your withdrawal conveniently online. Simply complete the fields below and press "Confirm withdrawal" to send your request.

A confirmation including the exact date and time of receipt will be sent to your email address straight away.

Please mind our Data Protection Declaration.

Withdrawal form
Please enter these characters in the following text field.
The fields marked with * are required.