CANCELLATION REQUEST FORM

CANCELLATION REQUEST FORM

CROSSFIT EXF
Name*

First NameLast Name
Email*
example@example.com

CANCELLATION START DATE*

DayMonthYear
*PLEASE NOTE THIS WILL BE YOUR LAST TRAINING DATE, WE DO REQUIRE 14 DAYS NOTICE FOR ANY CANCELLATIONS*
REASON FOR CANCELLATION*
PLEASE SELECT WHICH BEST DESCRIBES YOUR REASONING
DURING YOUR TIME WITH CROSSFIT EXF, HOW WOULD YOU RATE YOUR EXPERIENCE?*
WOULD YOU BE INTERESTED IN OUR ONLINE PROGRAMMING OPTION? *
ONLINE PROGRAMMING IS $10PW
CAN YOU PROVIDE ANY FURTHER FEEDBACK ON HOW WE CAN BEST IMPROVE OUR SERVICE? *
ANY ADDITIONAL COMMENTS OR QUESTIONS?

BY SIGNING THIS AGREEMENT IT MEANS:

• I have referred to my Membership Contract Terms & Conditions and understand that cancellations must be submitted no less than 14 days before my cancellation date.

• I understand that if I have a scheduled payment due within the 14 day cancellation period, it will be charged as scheduled and all payments are non-refundable.

• I understand that I can no longer use Exodus Fitness or its facilities and/or any programming associated after my cancellation date.

• If you cancel your membership and decide to reactivate at a later date (which we hope you do) new membership fees may apply.
Signature

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Date

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Date
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