Language
English (US)
Membership Cancellation Form
Member Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Reason for Cancellation
*
Medical
Re-location
Non-usage
Finances
Rate Your Overall Experience at Embrace It Fitness (1 is poor, 5 is great)
*
1
2
3
4
5
Please explain.
Has the Staff been friendly and knowledgeable?
*
Yes
No
Please explain.
What feedback or general suggestions or comments do you have to help us improve?
*
I am providing Embrace It Fitness my 30-day written notice to cancel my membership, as required by my agreement. I understand that I am responsible for any billing that will occur the next 30-days plus the applicable cancellation fee.
Yes
No
Date
-
Month
-
Day
Year
Date
Save
Submit
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