We hate to see you go! Please fill out this form and we will process the cancellation of your membership.

First Name *

Last Name *

Phone *

Email *

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

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

How clean were the facilities? *

How satisfied were you with your overall experience? *

Would you recommend us to your friends? *

Additional Comments/Questions

I understand that this is a request to cancel my membership and that B3 Gym requires 30-days notice of cancellation. I understand that my membership will be cancelled 30 days from the submission of this form. *

Yes

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