WILD Success

Cancellation Request Form - Cooling Off Period

We’re sorry to hear you’re considering cancelling your WILD Impact membership. Please complete the form below so we can process your request quickly and accurately.

Full Name *

Email Address *

Phone Number *

Cancellation Request Details

I would like to cancel my enrollment in the Wild Impact Coaching program within the 72-hour cooling-off period as specified in the agreement.

Cancellation Reason

Please let us know why you’re cancelling.

(Select one or More): *

Change of mind

Personal Reasons

Financial Reasons

Other (please specify)

Specify here your other reasons for cancellation: *

Date of Request

Terms and Conditions

This cancellation request is valid only within 72 hours from the original enrollment date.
Once the 72-hour cooling-off period has passed, cancellations will no longer be accepted, and payments will continue as scheduled.
If approved, your cancellation will be processed, and any associated payments will be refunded, subject to the terms of the program agreement.
Requests for cancellation must be submitted via this form. Any requests made by email or other methods will be disregarded.

Signature

By signing below, I confirm that I understand the terms of the 72-hour cooling-off period, and I agree to the cancellation request based on the details provided.

Signature

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