Language
English (US)
Membership Cancellation Form
Member Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Reason for Cancellation
*
Medical
Re-location
Non-usage
Finances
Rate Your Overall Experience at The Warehouse Gym (1 is poor, 5 is great)
*
1
2
3
4
5
Please explain.
*
What feedback or general suggestions or comments do you have to help us improve?
I am providing The Warehouse Gym my 30-day written notice to cancel my membership, as required by my agreement. I understand that I am responsible for any billing including club enhancement that will occur the next 30-days plus the applicable cancellation fee. I will put my keycard in the mailbox at front door entrance. I will pay $20 if keycard is not returned.
Yes
I understand that I will still have access to the facility until the date listed below.
*
-
Month
-
Day
Year
Date
Member Signature
Clear
Date
-
Month
-
Day
Year
Date
Save
Submit
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