Cancellation Form TOP Cancellation Form Cancellation Form Contractor full nameRequired Building’s nameRequired Room numberRequired Room number Cancellation dateRequired Year Month Day Final room check dateRequired Sun Mon Tue Wed Thu Fri Sat Holiday Before 12 o'clock After 12 o'clock Lastday Others request 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<br /> cancellation date. Please note that changes in the date and time may not be accepted<br /> 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。