Auto-Pay Hold/Cancellation Request
Please use this form to submit your 30-day written request to cancel your auto-pay yoga subscription.
Name (first & last)
Type of Request:
One time (per year) subscription hold
Length of hold being requested:
Current Auto-Pay Subscription
$50/month (4 classes)
$98/month (8 classes)
$144/month (12 classes)
$184/month (16 classes)
$250/month (25 classes)
Reason for hold/cancellation:
Date of Request (today's date):
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