First Name *

Last Name *

Phone *

Email *

Reason for Cancelation *

Was the coaching satisfactory? *

Was the gym clean? *

How satisfied were you with the overal experience? *

Other Comments

I acknowledge and accept the following cancellation terms*

All boxes must be checked to process your cancellation request

Agree *

I understand a 4-week notice is required and any invoices scheduled to charge within that 4-week window will be billed in full. All payments are non-refundable.

Agree *

I understand that termination of my membership before the end of my agreement will require a termination fee of the difference between the membership I was on and the membership I should have been on as outlined in my membership agreement.

Agree *

I understand that my membership will be cancelled 4 weeks from today.

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