Cancellation | Krav Maga Unyted

PLEASE READ & COMPLETE CAREFULLY

MEMBERSHIP CANCELLATION REQUEST - This Is Not A Hold Request
Membership Type:*
Membership Cancellation Form - 30 Day Notice

Your account will be cancelled after the next billing cycle. We will cancel your draft automatically. A copy of this cancellation will be emailed to you for your records.
Member Name*
Keytag #
Email*
Phone*
Comments
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Cleanliness of Facility:
- Excellent
- Good
- Average
- Poor
Friendliness/helpfulness of Front Desk staff:
- Excellent
- Good
- Average
- Poor
Friendliness/helpfulness of Wellness staff:
- Excellent
- Good
- Average
- Poor
Quality of programs:
- Excellent
- Good
- Average
- Poor
Which applies to you?*
Which applies to you?*
I am cancelling because:*
- Illness
- Financial Burden
- Moving
- Do Not Use
- Dis-satisfied with Programs/Service (please comment
- Joined Another Facility
- Other
Documentation is required:*
- Client/Physican Request
- Moving Residence more than 25 Miles from Facility
- Involuntary loss of Job without Cause
Upload documentation here:*
Accepted file types: jpg, gif, png, pdf, txt, doc, docx, rtf.
*
- I understand that cancellation requests during my 12-Month term contract must include proper documentation for the reason(s) stated above, and that my cancellation will not be processed until full and complete documentation is provided.
*
- I have reviewed my membership agreement and understand my rights and limitations to cancel during my 12-Month term contract.
*
- By submitting this form, I am giving Krav Maga Unyted 30 day written notice to cancel my membership. I understand that my membership will be canceled 30 days from the date this form was submitted. I understand that I will be charged/debited one additional month (pro-rated), for the use of the facility during my 30 day cancellation period. Upon completion of the 30 day cancellation period, my membership shall then be considered terminated. Should I choose to rejoin Krav Maga Unyted after the termination of my membership, I will have to pay at the then current rate.
CANCELLATION OF 3-MONTH CONTRACT WITHIN INITIAL TERM
- I understand that I am not able to cancel my 3-Month contract during the initial term and that I am responsible for payment of all dues during the initial 3-month term.

PLEASE READ & COMPLETE CAREFULLY

MEMBERSHIP CANCELLATION REQUEST - This Is Not A Hold Request

Membership Cancellation Form - 30 Day Notice

Please help us improve our service by completing this brief survey:

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