Cancellation | Krav Maga Unyted

PLEASE READ & COMPLETE CAREFULLY

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

Your account will be canceled 30 days after successful submission of your cancellation request. You will receive an email confirmation that your cancellation request has been received. Please keep the email for your records. If you do not receive an email confirmation of cancellation request submission, your request has not been received. Make sure to hit the submit button at the bottom of the page to complete your request.
Member Name*
Email*
Phone*
Comments
Which applies to you?*
Which applies to you?*
Which applies to you?*
Documentation is required:*
- Client/Physician Request
- Moving Residence more than 25 Miles from Facility
- Involuntary loss of Job without Cause
Documentation is required:*
- Client/Physician Request
- Moving Residence more than 25 Miles from Facility
- Involuntary loss of Job without Cause
Documentation is required:*
- Client/Physician 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.
Upload documentation here:*
Accepted file types: jpg, gif, png, pdf, txt, doc, docx, rtf.
Upload documentation here:*
Accepted file types: jpg, gif, png, pdf, txt, doc, docx, rtf.
I am cancelling because:*
- Illness
- Financial Burden
- Moving
- Do Not Use
- Dis-satisfied with Programs/Service (please comment)
- Joined Another Facility
- Other
*
- 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 understand that cancellation requests during my 6-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 6 or 12-Month term contract.
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.
Upload documentation here:*
Accepted file types: jpg, gif, png, pdf, txt, doc, docx, rtf.
*
- 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.

PLEASE READ & COMPLETE CAREFULLY

MEMBERSHIP CANCELLATION REQUEST - This Is Not A Hold Request

Membership Cancellation Form - 30 Day Notice

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