+32468072112

info@nexly.eu

Select a Language

Login Register

Categories

Courses Instructors Store Forums Events

Page cover

Nexly Withdrawal Form

Withdrawal Form

Submit a withdrawal request.

Withdrawal Form

Please complete all required details to help us process your withdrawal efficiently.

Step 1/5

Customer Information 🧾

Please enter your customer information to start your withdrawal request.

Customer Number *

Order / Invoice Number *

Type of Withdrawal *

Step 2/5

Order Details 📦

Provide details about the goods or services and relevant order dates.

Goods / Service Description *

Ordered On *

Received On *

Additional Notes (Optional)

Step 3/5

Consumer Information 👥

Provide consumer details for verification.

Consumer Name *

Address *

Step 4/5

Attachments & Confirmation 📎

Attach any relevant documents and confirm the accuracy of your submission.

I confirm that all information provided is true and accurate.

Upload Proof / Supporting Documents

Optional Additional Documents

Step 5/5

Review & Submit ✅

Review all your provided details before submitting the withdrawal request.

Customer Number:

Order Number:

Withdrawal Type:

Partial Reason:

Goods/Service:

Ordered On:

Received On:

Consumer Details:

Additional Notes:

Agreement: