Membership Cancellation Form

A cancellation is not effective until a Cancellation Request has been received.
If your request is received between the 1st and 15th, your cancellation will be effective at the end of the current month (unless a later date is specified). If your request is received after the 15th, your cancellation will be effective at the end of the next month (unless a later date is specified). Notice MUST be received in time to stop your AutoPay deduction. Remember, dues are paid in advance (May 25 debit is for June dues).
If your account is not in good standing, any balance will be due at the time of cancellation (this includes any unpaid initiation fee installments) or your AutoPay will remain active until a zero balance has been reached.
Annual dues payers may be issued a refund for unused future months less a $10 processing fee if requested at the time of cancellation. Refunds cannot be issued for non-usage of the facility.
To rejoin, former members pay half of the applicable initiation fee up to $75.00 as long as a prior initiation fee has been paid in full.

First Name:*

Last Name:*

Email Address:*

Mailing Address:*

City:*

State:*

Zip Code:*

Daytime Phone:*

Evening Phone:*

Can be the same as Daytime Phone

Reason you are cancelling your membership:*

To help us improve our facility and services, we ask that you please be specific.

Parking Permit:*

I will return my Parking Permit.

I DO NOT have a Parking Permit.

Please select the appropriate option.

Kit Locker:*

I will return my Kit Locker key.

I DO NOT have a Kit Locker.

Please select the appropriate option.

Additional instructions:

Additional instructions or comments regarding the canceling of your account

I am hereby declaring that I want to terminate the following:*

Membership

Kit Locker

BOTH Membership and Kit Locker

Termination Agreement*

Please terminate the option listed above at the end of my prepaid period and/or effective the last day of:

I am acknowledging that I have read and understand the cancellation policy stated above and agree to the terms:*

Yes

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