Mark Green Sports Center Membership Withdrawal Form (Monthly Payment Plans)

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Please complete the form below to cancel your monthly payment plan at the Mark Green Sports Center. Please note that your monthly membership dues will still be charged to your credit card during the 30 day period.

Email *

First & Last Name:

Membership Number (Number can be found on member card or key fob):

Reason for withdrawal:

Moving out of the area

Sports Center does not meet my needs

Injury prevents me from working out

Other:

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I agree that my current membership will be terminated 30 days from the date I fill out this form. I understand that I may be charged any fees that may occur during the 30 day period. *

I agree

Required

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