First Name *

Last Name *

Email *

Phone *

Why Are You Cancelling? *

If Other Please Describe Below... *

Cancellation Terms & Conditions

I Acknowledge... *

I understand that the submission of this form does not cancel my membership. We will review your cancellation request, then confirm with you to finalize the Membership Cancellation.

I Acknowledge... *

I understand that if I have a scheduled payment within this 30-day period, the payment will be processed as scheduled. All payments are non-refundable.

I Acknowledge... *

I understand that I may be subject to new membership rates if I rejoin the gym at a later stage.

I Acknowledge... *

I understand that my membership must be current before I cancel it.

I Acknowledge... *

I Agree to all of the Membership Cancellation Terms & Conditions.

Please Sign Below... *

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