We're obviously very upset that you're leaving us!   But with your departure, we want to find out what made this place special for you & what recommendations you have for us going forward so that we can continue to provide the best service for our clients.

***NOTE: PER YOUR MEMBER AGREEMENT, THIS FORM IS REQUIRED BEFORE YOUR 20 DAY CANCELLATION NOTICE WILL BE ACTIVATED. IF YOUR MEMBERSHIP WOULD NORMALLY BILL IN THE NEXT 20 DAYS, YOU WILL BE BILLED ONE MORE TIME BEFORE YOUR CANCELLATION IS FINAL. WE WILL CALL YOU SHORTLY TO FINALIZE YOUR 20 DAYS NOTICE***