Membership Cancellation Request

Membership Cancellation Or Conversion Request

Membership cancellation/conversion request forms must be submitted at least 72 hours prior to the membership auto-renewal date. Requests received less than 72 hours will be applied to the following month. Members may use their membership up until the last day of their membership, regardless of when the cancellation request is made. No refunds will be given for any unused portion of your membership.

Name

First Name

Last Name

Today's Date

YYYY

Address

Phone

(###)

###

####

I would like my membership:

Cancelled

Converted to another type

If you'd like to convert, please let us know which membership type you would like to be converted to:

If there is another person attached to your membership (couples or family memberships), please let us know their name:

Reason for cancellation

Illness

Injury

Moving

Other

Other, please explain:

Date you'd like your membership cancelled or converted:

Please enter the date you'd like your membership cancelled/converted. This can be as far out as you wish.

YYYY

Signature

"I Accept" using any device, means or action, you consent to the legally binding terms and conditions of this Agreement.

I accept

I do not accept

Please type your full name: