Kickstart Change 2 Monthly Plan - Membership Page Cancellation Form

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If you wish to cancel your membership, please fill out this form and submit it before your next billing date to avoid additional charges to your account. If you have any questions, don''t hesitate to contact me at amy@acnlifecoach.com.

Current Date *

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Program Purchase Date *

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Member Name *

Phone Number *

Email *

Reason for Cancellation

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I understand that I may cancel up to two weeks after program purchase for a refund equal to one month's payment minus a $50 cancellation fee. I understand that no refunds will be granted after this time period. I understand that cancelling my membership means I will not have access to new, future months' material on the membership page or the Facebook group associated with it. *

I confirm cancellation of my membership to the Kickstart Change Membership Page.

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