Fusion Cancellation Request

Cancellation Request Form
Full Name*

First NameLast Name
E-mail*
Phone Number

Area CodePhone Number
Barcode ID*
Found on the back of your member key tag
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Request Date*

MonthDayYear
Date
Select Club *
(Where you are currently enrolled for FUSION)
Reason for Cancellation*

Didn't useFinancesNo longer interestedCancelling AFF membershipOther
Cancellations submitted between the 1st to the 24th of the month will cancel at the end of the current month.

Cancellations submitted between the 25th and month end will cancel at the end of the following month.

Submission date is determined by the date the request is date stamped by the servers at American Family Fitness
Should be Empty: