Membership 30 Day Cancellation Request- Anytime Fitness

Date*

Date

Name*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

What is the main reason for cancelling your membership?*

How often do you use the club?*

On a scale of 1-5 (5 being the highest), how do you rank your overall experience at Anytime Fitness?*

Which of the following services did you use at the club?*

If you took advantage of your Fitness Consultation, did it meet your expectations?

How can we improve our service?

I hearby certify that I wish to cancel my membership with Anytime Fitness. I understand that my account must be in good standing in order to complete this requst. I understand per my membership agreemment that I am responsible for any billing that will occur within the next 30 days. I understand I will be provided a confirmation of the Member Cancellation via email.

Name*

First NameLast Name

Signature*