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Cancellation Account Request

To contact us directly: Complete the form below.  All fields are required, except for Other Comments.

Name

Today's Date

(mm/dd/yyyy)

E-mail

Reason for Leaving

Phone

Address Other Comments

PLEASE READ:
··· All Cancellations will go into affect 30 Days from billing date.
··· All memberships are billed on the 10th of every month.  So, for example, if you do not wish to be billed in December this form must be turned in by November 10th.
··· If canceling a Family or Couple membership please include all names in the Other Comments Field, otherwise only the member whose name is on the form will be canceled.

Thank you for your interest!  We will be in touch with you soon!