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Application for Withdrawal 退会申請書
<Operation Rules for Membership on hold, Withdrawal, Reinstatement, and Re-enrollment of Membership>
https://drive.google.com/file/d/1Od71NDPHAjVBOgPpqWKnQ4DwaflzR29V/view?usp=sharing
<休退会等運用規定>
https://drive.google.com/file/d/1lynmZ_rjxZ9hux1S98xOXB9u2BL3ostj/view?usp=sharing
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Email
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Your email
Acceptance of the terms of this policy ご利用規約の確認
Please acknowledge your acceptance of the terms of this policy by ticking the box below.
上記 <退会・休会・復会・再入会規約> にご了承いただければ、チェックボックスにチェックをお入れください。
*
I have read the terms of this policy and agree to its terms. 規約を確認し了承致しました。
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Child's name(s) / お子様のお名前
*
Your answer
Name of Parent or Guardian 保護者氏名
*
Your answer
Cancellation of membership fee subscription in regards to the withdrawal application 退会申請に伴う会費引き落としの停止について
毎月21日までに受付されたお届けにつき、翌月分以降の会費引き落としを停止させて頂きます。
期限を過ぎて提出された申請書につきましては、翌月処理となり翌々月分以降の会費引き落としを停止させて頂きますのでご留意ください。
Year of Leaving 退会希望年
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Choose
2023
2024
Please check the month of leaving or month of membership break you wish to take. 退会開始月にチェックをお願い致します。
*
January 1月
February 2月
March 3月
April 4月
May 5月
June 6月
July 7月
August 8月
September 9月
October 10月
November 11月
December 12月
Required
Future email subscriptions 今後のメール配信
*
Request to continue to receive information about special events only 特別イベント案内のみ配信継続希望
Request to unsubscribe from all emails 全てのメール配信の停止を希望
Reason for Withdrawal 退会理由
Your answer
Any inquiries お問い合わせ
Your answer
A copy of your responses will be emailed to the address you provided.
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