Friends Member Cancellation Form

Friends Member Cancellation Form

Please fill in the following items and submit.
For those who have registered for automatic withdrawal of the annual membership fee,
please complete the cancellation procedure by the 25th of the month prior to the expiration month.

Membership Number

Required

Name

Required

Email

Required

Requested Date of Cancellation

Required


* You may receive mail depending on the date of your cancellation procedure.

Reason for Cancellation

Optional

Correspondence Column

Optional

Please call us if you need immediate cancellation.

Sumitomolife Izumi Hall Friends Office Tel: 06-6944-1148 [10:30 a.m. to 5:00 p.m. Closed on Sundays and Holidays]