Cancellation Form TOP Cancellation Form Cancellation Form Contractor full nameRequired Building’s nameRequired Room numberRequired Room number Moving Out DateRequired Year Month Day E-mailRequired OthersOptional 【Account Information(Only if there is a security deposit)】 Bank NameOptional Branch name (store number)Optional account numberOptional nameOptional Other change of address必須 I wish to find a roomOptional yes no OtherOptional For final check we set a schedule 1 month before your cancellation date. Please note that changes in the date and time may not be accepted under Article 16 of the contract. ※If there is a possibility of change, please fill in the [Others] column in advance and contact us. I agree to the usage of my personal information About personal information protection policy RapidSSLを使用して、お客様の個人情報を保護しています。 httpsで始まるアドレス上ではすべての情報がSSLで暗号化されてから送受信されます。