CANCELLATION FORM

1. If you decide to reactivate your membership in the future (and we hope you do), membership rates in effect at the time of reactivation will be applicable as membership rates are subject to change.

2. If you would like to put your membership on hold instead of canceling, you can submit a Membership Hold Request. If you’re sure you’d like to cancel, just complete, and submit the form below. This will serve as your 30-day written cancellation notice as required by your membership agreement. Your membership will be cancelled 30 days from the submission of the form below. Note that if you have a scheduled renewal payment within this 30-day period, the payment will be processed as scheduled. All payments are non-refundable.

3. Cancellation of membership prior to the expiration of any specified commitment period requires an early termination fee equal to the standard non-discounted month-to-month rate.

First Name *

Last Name *

Phone *

Email *

Please select the option below that best describes your reason for leaving.

How well did the coaching staff attend to your fitness goals and needs? *

How would you describe your satisfaction with the facilities, including equipment, parking and accessibility? *

Overall, how would you rate your experience (10 being awesome)? *

How likely are you to recommend us to a friend? *

I understand that this is a request to cancel and that the gym's policy on cancellation will be considered to determine final date of my membership *

Yes

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