Membership Cancellation Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Email *

Print Name *

Phone Number *

I am requesting my membership at CrossFit Conquest be cancelled.

I understand that there is a 30 day cancellation period as written on my original billing form (a copy of this form can be furnished upon request). *

I Understand

Required

I understand that this 30 day cancellation notice means I will have ONE FINAL payment. *

I Understand

Required

I understand that I may use CrossFit Conquest and all classes for exactly 30 days after my final payment. *

I Understand

Required

I also understand that if I cannot use my final 30 days, I can assign them to a NON MEMBER, and they can use this time in my stead. That person must submit an intro workout form through the website, and I must inform either Jon Coddaire or Paul Moran of the assignment of this time and to whom. *

I Understand

Required

Reason for Cancellation: *

Print Name (This will serve as your electronic signature.) *

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Crossfit Conquest. Report Abuse

Forms