Fitness - Membership All-Inclusive Cancellation

Membership Information

A primary membership* must always maintain an active status. If at any time the primary member becomes inactive, an additional member will default to a primary member status. If a member wishes to terminate their membership prior to end of 12 months, a $75 cancelation fee is required with completed cancelation form.

Member Cancelling(Required)

First Last

Additional Members Canceling (optional)

Additional Member Cancelling(Required)

First Last

Additional Member Cancelling(Required)

First Last

Additional Member Cancelling(Required)

First Last

Additional Member Cancelling(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Birthdate(Required)

Cancellation Effective Date(Required)

Membership(Required)

Annual Membership

Monthly Membership

Corporate Membership

Cancellation must be submitted a minimum of 5 business days prior to the next monthly pay draft. If it is not, monthly payment is automatically withdrawn and next month's payment will be cancelled.

Company(Required)

Reason for Cancellation(Required)

tell us why(Required)

list new gym(Required)

-(Required)

Additional Members will maintain memberships (requires membership transfer).

Customer Service from fitness desk staff(Required)

Cleanliness of facility(Required)

Atmosphere of facility(Required)

Group Fitness Class Options(Required)

Overall Experience(Required)

Member Name

First Last

Signature

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Fitness – Membership All-Inclusive Cancellation

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