Membership Cancellation Request Form

Membership Cancellation Request
Date Requested

MonthDayYear
Date
Member Name

First NameLast Name
Parent/Guardian

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
What is the main reason for cancelling your membership?

Other
How often do you visit the clubhouse?

Other
On a scale of 1-5 (5 being the highest), how do you rank your overall experience at Marucci Clubhouse Las Vegas?
How can we improve our service?
NOTICE

Membership Cancellation Request must be submitted 15 days prior to your next scheduled transaction date. If cancellation request is submitted with less than 15 days notice of their next scheduled transaction, Marucci Clubhouse Las Vegas does not gaurentee membership cancellation prior to the members next scheduled transaction date. 12 month Pledge Memberships with completion status of less than 6 months will be subject to a $200 Administration fee.
Signature
Print Name

First NameLast Name
Date

MonthDayYear
Date
Should be Empty:

Membership Cancellation Request