CANCELLATION REQUEST FORM

This form is only a request - if you do not receive a confirmation email within the week please reach out to our front desk to submit your cancellation request

Primary Member Name

Key Tag #

Phone Number

Address

Country/Region

Address

Address - line 2

City

Zip / Postal code

Membership Type

Monthly Member

Annual Member

Monthly

End of Next Month

End of Future Month

Annual

ASAP

End of Future Term

Date

Month

Day

Year

If you are unsure of your membership type, please reach out to our front desk at 616-847-5858.

Cancellation Reason

I understand that by cancelling my membership I will be responsible for paying the $50 initiation fee if I rejoin at a later date. Furthermore, I understand that all open class packages are nonrefundable and will be cancelled with the same effective date of my membership.

Signature

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