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Membership Management

RISOL Card G Cancellation & Change Form

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Confirmation
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This application form is for RISOL Card G members to process membership cancellation or changes.
Please select the type of request (Cancellation or Change), fill in the required information, and proceed to the confirmation screen.

*Please enter the information you provided at the time of registration for identity verification.
*If we are unable to verify your registered information, we may contact you, so please provide your email address.

Requireddenotes mandatory fields.

Type of RequestRequired	Cancellation Change of Registered Information
RISOL Card NumberRequired	*Enter 10 digits without hyphens (-).
NameRequired	First Name Last Name
Date of BirthRequired	Year Month Day
Email AddressRequired	Please enter again for confirmation. *Half-width alphanumeric characters

Please indicate the items you wish to change.

Items to ChangeRequired	Address Phone Number Email Address Newsletter Preferences
Apartment or Building Name
AddressRequired	Example: 6-24-1 Nishi-Shinjuku
CityRequired	Example: Shinjuku-ku
RegionRequired	Example: Tokyo
CountryRequired	Example: Japan
Postal / Zip codeRequired	Example: 1600023
Phone NumberRequired	- - *Half-width alphanumeric characters
New Email AddressRequired	Please enter again for confirmation. *Half-width alphanumeric characters
Newsletter PreferencesRequired	We will send information about our products and services. Postal Mail Yes No Email Yes No

Regarding the Handling of Personal Information

Before making an inquiry, please read the 'Privacy Policy'
carefully and proceed to the 'Confirmation of Input Information' only if you agree.

Agree to the Privacy Policy