AF Membership Cancellation
Staff Name
*
Josh Moore
Emma Clarke
Jake Taylor
Hayley Bourque
Jessica Moore
Member Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Type of Cancellation
*
30-Day's Notice
Contract Buy-out
I am providing Anytime Fitness my 30-day written notice to cancel my membership, as required by my contract. I understand that I am responsible for any billing that would have occurred in the next 30-days. The total listed below will be collected today.
*
I am providing Anytime Fitness my notice of cancellation, and buying out of my contract per the terms in my membership agreement (buy-out of remaining months up to a maximum of $300). Below is the total amount I will be paying today.
*
I understand that I will still have access to the facility until the date listed below.
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
I understand that I will not have access to the facility after today.
*
Yes
Reason for Cancellation
Time/Usage
Financial Hardship
Moved
Unhappy with facility
Member Signature
Submit
Should be Empty: