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Cancellation Form

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  • 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
OtherOptional
  • ※If there is a possibility of change, please fill in the [Others] column in advance and contact us.

About personal information protection policy

rabbitssl

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。