CANCELLATION FORM MSG

Main Street Gym Cancellation Form
*30 day notice for cancellation is required. Please note you will be CHARGED if your next payment falls under the next 30 days and by signing this you are agreeing with that charge. If you have any questions about this you can email mainstgym205@gmail.com

Please note that when you cancel your membership, you will sign up with new membership pricing upon rejoining.
Primary Member Name (If you want to remain active make sure you complete part A3.*
A1.List any additional members to be cancelled
A2. List any additional members to be cancelled
A3. List members who need to remain active, if any?
Phone Number*
Email*
example@example.com
Requested Cancellation Date (*cancellation policy)*

MonthDayYear
Date
Reason for cancellation (in paragraph)*
Financial situation, health related, staff issues, facility issues
Attach supporting documents like medical certificate

Cancelof
How would you rate our overall services?
Provide any comments or feedback
Terms and Conditions
30 day notice for cancellation is required. Please note you will be CHARGED if your next payment falls under the next 30 days and by signing this you are agreeing with that charge. If you have any questions about this you can email mainstgym205@gmail.com

No refunds for year memberships or one time payments unless there are medical or health issues, a medical certificate will be needed. (upload above) Cancellations will only be accepted via this form and not by phone or email.

Please note that when you cancel your membership, you will sign up with new membership pricing.
Client's Signature*

Clear
Date Signed*

MonthDayYear
Date
Should be Empty:

Main Street Gym Cancellation Form

Terms and Conditions