CANCELLATION FORM

We obviously hate to see you go. But with your departure, we'd like to find out what made MaxWay a special place for you and what recommendations you have for us going forward so that we can continue to provide the best possible service for our clients.

THIS FORM IS REQUIRED BEFORE YOUR 14 DAY CANCELLATION NOTICE IS ACTIVATED

First Name *

Last Name *

Phone *

Email *

Which reason(s) best match with why you're leaving us

Any other comments / suggestions /critiques that you'd like to share with us to describe in more detail why you are cancelling?

Captcha

I understand that my membership will be cancelled 14 days from the date this form was submitted. *

Yes

Parent Signature

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