Jack Coleman MEMBERSHIP CANCELLATION FORM

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Membership cancellation policy:

Please be advised that all Membership Cancellations must be formally submitted through our designated form at least 30 days before the next billing date, which occurs on the 1st of each month. Should you submit your cancellation notice less than 30 days before the billing date, you will still incur charges for the subsequent month and maintain access to your benefits until the 29th of that month. However, you will not be billed any further dues beyond that period.

*** Please note that if you decide to re-join in the future, you will be charged the initiation fee again.***

Email *

First Name *

Last Name *

Phone Number: *

Home Address: *

Cancellation Reason: *

Medical

Financial

Non-Usage

Relocation

Today's Date: *

YYYY

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