We hate to see you go. Please fill out this form and we will be in touch with you shortly to finalize cancelling your membership.
First Name
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Last Name
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Phone
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Email
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Select the option that best describes your reason for leaving.
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Moving (Not Convenient or Relocating)
Too Expensive (Financial Reasons)
Moving (Not Convenient or Relocating)
Injured (I am injured)
Unable to Attend as Much as I'd Like
Maternity (I am pregnant)
Other (Please List)
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If "Other" is Selected, please let us know
How would you rate the coaching you received from us (5=Excellent, 1=Poor)
5
4
3
2
1
How clean was the gym?
Cleanliness was Satisfactory
Cleanliness was Unsatisfactory
Please explain what made the cleanliness of the gym unsatisfactory, we'd love to improve!
How satisfied with you with your overall experience? (5=Extremely Satisfied, 1=Not Satisfied)
5
4
3
2
1
Are you interested in purchasing a Punchcard so you can come drop in every now and then? We'd love to see you!
Yes
No
Additional Comments/Questions
When is your next Bill Date Scheduled for?
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Example: Your bill comes out on the 1st of each month, would be formatted as 01/01/2025
I understand that submitting this form starts the cancellation process, but my membership will not officially end until 30 days after my next billing date as shown above and as stated in my membership agreement. This means that if my billing date falls within the next 30 days, I will be charged one final payment, and I will continue to have access to the gym until the end of that 30-day period following the last payment.
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Yes
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Submit Cancel Request