Membership Termination Form

Membership Termination Form

We require 30 days’ written notice to cancel any auto-renewing membership. You may submit your notice anytime by completing our Cancellation Form. Any auto-payment scheduled within the 30-day notice period will be processed as the final payment. After the final payment, you’ll have 4 weeks to use any unused classes, after which access will end and remaining credits will expire.
Full Name

First NameLast Name
Email Address
example@example.com
Requested Cancellation Date

MonthDayYear
Date
Reason for Terminating Membership
Which location did you visit most:
Favorite Instructors/Teachers:
Which class did you attend most:

Please take a moment to let us know how we have been performing:

Rows	Great	Good	Fair	Poor	Unsatisfied
Quality of Classes
Front Desk Customer Service
Convenient Class Times
Connection with Instructors
Overall Experience at Transform

Feedback on your experience at Transform:
Would you like to be notified of future offers and events?
I acknowledge that to cancel an auto-renewing membership that has fulfilled its minimum commitment, I must provide at least 30 days’ written notice prior to my next billing date. If notice is provided within 30 days of the next billing cycle, one final monthly payment will be processed, and my membership will terminate at the end of that cycle.
Signature
Should be Empty: