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. Please allow a minimum of 10 days processing time for all cancellation requests.

First Name *

Last Name *

Phone *

Email *

What plan are you requesting to cancel? *

Membership Cancellation Date? Date entered must be 10 days from requested date. Date cannot be today's date. *

CANCELLATION DATE MUST BE 10 DAYS FROM TODAY'S DATE

Select the option that best describes your reason for leaving. *

How would you describe your satisfaction with the coaching you received from us? *

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

Overall, how would you rate your Cigar City CrossFit experience? *

How likely are you to recommend Cigar City CrossFit to your friends and/or family? *

Any additional comments you'd like to make before you leave?

I understand that my membership will be canceled 10 days from the date this form was submitted. *

Yes

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