Membership & Locker Service Change Request Form

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Please allow 3 business days for our Member Services Manager to be in contact with you regarding these changes.

Email *

I want to... *

Cancel my membership/Request a refund

Cancel my locker rental

Relocate my locker rental to the main Rec locker room

Required

First & Last Name *

UMID *

8 digits located on the front of your Mcard

Date of Birth *

YYYY

Preferred Contact Method *

Phone

Required

Please enter the email email address or phone number we can reach you at: *

If you would like to cancel the membership(s) of others on your payment method, please list their name, UMID, and date of birth here.

When would you like these changes to be made?

*For a June 26 cancellation date, this form must be completed by June 15. For a July 26 cancellation date, this form must be completed by July 15.*

June 26

July 26

Do you have any additional questions regarding your membership or locker?

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

Submit

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