Portside Boulders - Membership Cancellation Request
We are really sad to see you go! Please complete this form so that we can find your membership and cancel it within a timely manner. Thank you!
Email oconnor@portsideboulders.com.au, osbornepark@portsideboulders.com.au, or willetton@portsideboulders.com.au if you have any further questions regarding your membership's terms and conditions, cancelling your membership, or anything else.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Where did you sign up for your membership? (If you don't remember, give us your best guess!)
*
O'Connor
Osborne Park
Willetton
What is the last day you are able to/ would like to climb using your membership? After this date, your membership will be cancelled.
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Day
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Month
Year
Please note that if you have a specific desired end date to your membership, you should submit this form at least 7 days in advance to ensure your final payment is pro-rated appropriately. We are unable to pro-rate payments retrospectively.
8 weeks from cancel date
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Month
-
Day
Year
Date
Your feedback is important to us!
Please answer a few more questions so that we can improve and better serve our valued members.
Let us know what you have enjoyed here at Portside, and what you think we can do better!
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We appreciate any and all feedback.
What is your primary reason for cancelling your membership?
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Change of location
Family or work commitments
Prefer another activity
Prefer another climbing gym
Facility is too busy
Financial difficulty
Injury
I no longer enjoy climbing at Portside
Unpaid membership fees
New Staff Member
Do you plan to purchase a 10 Visit Pack as an alternative to your membership?
*
Yes
No
Submit
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