Cancellation Form

Cancellation Form

Membership Cancellation Form

MOMENTUM FITNESS WARRNAMBOOL
Please read this carefully before submitting!

We are always sorry to see members leave but we totally understand. Priorities change with different lifestyle changes and life can throw things at us that are unexpected. These can impact on our health and fitness either in a good way or a bad way. But please be aware that you can suspend your membership for up to 6 weeks if this is an option that would suit better.

If cancelling your membership is still your best option, then please complete this form with all of your details and reason for cancelling. All overdue payments and or cancellation fees (depending on your membership) must be paid before the membership is cancelled down.

If there is money owing or a cancellation fee needs to be paid, please contact the gym on 0427 456 563 and you can pay over the phone.

*Please be aware we can not cancel a membership if money is owing, and if we receive this form outside of business hours it will be cancelled down the next business day that we are staffed.
Date*

DayMonthYear
Date
Membership Number if Known:
Optional
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Email*
example@example.com
Reason for Cancelling*
Signature

Clear
Should be Empty: