Membership Cancellation Form
First Name
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Last Name
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Phone
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Email
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Which location?
East Meadow
Massapequa
Oyster Bay
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How did you initially find us?
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Referral
FB or IG Ad
Social Media
Website
Google
How long have you been a member?
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0-3 months
3-6 months
6-12 months
1-2 years
2+ years
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What is your reason for quitting? (Please explain)
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What would have kept you here? (Please elaborate)
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How well would you rate your overall satisfaction with us?
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Incredible (5 stars)
Good (4 stars)
Average (3 stars)
Below Average (2 stars)
Awful (1 star)
Any additional comments, questions or constructive feedback for us?
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According to the terms of your membership agreement at the time of sign-up, you acknowledged our cancellation policy which stipulates that any modifications or cancellation to your membership must be made at least 7 DAYS PRIOR to your upcoming billing date. Additionally, please note that there are no refunds for cancellations made after this deadline. Please initial below to confirm your understanding of this policy
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By initialing here and hitting the submit button you consent to end your billing after your next bill date. You acknowledge this form will be submitted to the billing department to be processed
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Cancel my Membership