CANCELLATION / FREEZE REQUEST

WE WILL REACH WE OUT ONLY IF THERE ARE ANY ISSUES WITH YOUR REQUEST.

Your Name *

Email *

Phone *

WHEN WOULD YOU LIKE YOUR REQUEST EFFECTIVE DATE TO BE ? *

TYPE OF REQUEST *

CANCELLATION
FREEZE

FREEZE REQUESTS ARE BY APPROVAL ONLY AND ONLY APPLY FOR FULL MONTHS - AND PARTIAL MONTHS ACCESSING THE GYM WILL STILL APPLY DUES AS NORMAL

*IF CANCELLING - I UNDERSTAND THIS IS A 30 DAY NOTICE AND 1 MORE PAYMENT WILL BE DUE AFTER THIS REQUEST IS SUBMITTED (FOR EXAMPLE: CANCEL REQUEST IS SUBMITTED ON MAY 5TH THEN JUNE PAYMENT WILL STILL APPLY) *

REASON FOR CANCELLATION / FREEZE *

HAVE YOU COMPLETED YOUR 12 MONTH COMMITMENT *

YES
NO
N/A ( MONTH TO MONTH )
N/A ( FREEZE REQUEST )

IF IM STILL IN MY 12 MONTH COMMITMENT I UNDERSTAND THERE IS A $150 EARLY TERMINATION FEE PER MEMBER *

YES
NO
N/A ( MONTH TO MONTH )
N/A ( FREEZE REQUEST )
MILITARY PCS ORDERS 50% OF (DOES NOT APPLY TO END OF ACTIVE SERVICE ORDERS OR ETS ORDERS) *EARLY TERMINATION DATE OF MILITARY ORDERS IS BASED ON THE DATE ON THE ORDERS

HOW LONG WOULD YOU LIKE TO FREEZE. 2 MONTH MAX WITHOUT ORDERS ( IF WITHIN ORIGINAL 12 MONTH CONTRACT THIS WILL EXTEND IT AN EQUAL AMOUNT OF TIME ) *

1 MONTH
2 MONTHS
N/A CANCELLATION REQUEST
DEPLOYMENT/TDY ( ATTACH ORDERS, TIME PERIODS BASED ON ORDERS )

ATTACHED DOCUMENTS

I UNDERSTAND WE CAN NOT PROCESS ANY CANCELLATIONS OR FREEZES WITH AN OUTSTADNING BALANCE. ACCOUNT MUST BE PAID IN FULL INCLUDING LAST PAYMENT TO PROCESS. I ACCEPT THESE TERMS AND CONDITIONS. *