Membership Cancellation Request Form

PER MEMBERSHIP AGREEMENT | MEMBERSHIP CANCELLATION requires a minimum of 4 weeks notice. All cancellation requests must be made through this cancellation form on this website. This will serve as your 4 week written cancellation notice as required by your membership agreement. Your membership will be cancelled 4 weeks from the submission of the cancellation form.

NOTE | PER MEMBERSHIP AGREEMENT | If you have a scheduled renewal payment within this 4 week period, the payment will be processed as scheduled. All payments are NON-REFENDABLE. IF you choose to reactivate your membership after cancellation, Membership rates in effect at the time of reactivation will be applicable (membership rates are subject to change).

First Name

Last Name

Phone

Effective Date

Message

Acknowledgement

CANCELLATION requires a minimum of 4 weeks notice. All cancellation requests must be made through this cancellation form on this website. This will serve as your 4 week written cancellation notice as required by your membership agreement. Your membership will be cancelled 4 weeks from the submission of this form.

Acknowledgement

PER MEMBERSHIP AGREEMENT | If you have a scheduled renewal payment within this 4 week period, the payment will be processed as scheduled. All payments are NON-REFENDABLE.

Acknowledgement

IF I choose to reactivate your membership after cancellation, Membership rates in effect at the time of reactivation will be applicable (membership rates are subject to change).

Middle Path CrossFit

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Membership Cancellation Request Form