Cancellation Request Form
This form must be submitted 30 days prior to your cancellation date.
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Cancellation Notes
  1. If you decide to reactivate your membership in the future (and we hope you do) membership rates in effect at the time of reactivation will be applicable as membership rates are subject to change.

2. If you would like to put your membership on hold instead of canceling, you can submit a Membership Hold Request. If you’re sure you’d like to cancel, just complete and submit the form below. This will serve as your 30 day written cancellation notice as required by your membership agreement. Your membership will be cancelled 30 days from the submission of the form below. Note that if you have a scheduled renewal payment within this 30 day period, the payment will be processed as scheduled. All payments are non-refundable.

3. Cancellation of membership prior to the expiration of any specified contract period requires an early termination fee equal to the standard non-discounted month-to-month rate.  
First Name *
Last Name *
Email *
Phone Number *
Please select the reason below as your reason for leaving
 *
Required
How well did the instructors attend to your yoga/wellness goals and needs? *
How would you describe your satisfaction with the facilities, including equipment, parking & accessability? *
Overall, how would you rate your experience? *
Terrible
Awesome!
How likely are you to recommend Ceremony Yoga Center to a friend? *
Not at All
Absolutely!
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