AcuHaus Membership Cancellation Request
Please fill out this form to initiate your 30 day notification of AcuHaus membership cancellation. We will send you a confirmation email of your cancellation along with the final payment date and expiration date of any remaining session(s).

If you do not get the confirmation email within 3 days after submitting this form please contact us (admin@acuhaus.com or 952-222-8158) to ensure we received your cancellation request.
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Email *
First/Last Name *
What is the best phone number to reach you? *
30 Day Notice: Select today's date to begin your 30 day notification or the future date you desire. *
Please be aware that you may have another payment that will come out during this 30 day notification.
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What is your reason for cancellation? *
Your feedback assists us in improving our services. Thank you!
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Is there any additional information you want to add?
A copy of your responses will be emailed to the address you provided.
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