Membership Cancellation Request

Membership Cancellation Request

We're 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!
Cancellation Quick Facts
- Membership does not auto-end after your minimum term - rolls on weekly until cancelled.
- Cancel any time after your term via this Cancellation Request Form (not at the counter).
- Early cancellations must pay out any remaining term in full.
Contact

Please email any of the below if you have any further questions regarding your membership.
Name*

First NameLast 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'ConnorOsborne ParkWillettonJoondalup
What is the last day you are able to/ would like to climb using your membership? After this date, your membership will be cancelled.*

DayMonthYear
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

MonthDayYear
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!*
We appreciate any and all feedback.
What is your primary reason for cancelling your membership?*

Change of locationFamily or work commitmentsPrefer another activityPrefer another climbing gymFacility is too busyFinancial difficultyInjuryI no longer enjoy climbing at PortsideUnpaid membership feesNew Staff Member
Do you plan to purchase a 10 Visit Pack as an alternative to your membership?*

YesNo
Should be Empty:

Membership Cancellation Request

Your feedback is important to us!