Cancellation forms
FOR EFT MEMBERSHIPS ONLY. YOUR MEMBERSHIP CANNOT BE CANCELLED IF IT IS PREPAID
Email *
What is your first name? *
What is your last name? *
Please list the first and last names of the person(s) who are being cancelled. *
What is your 5-digit Focus scan card number? (This is not your Credit Card number)
If you do not know your scan card number, please leave blank.
What is your birthday (MM/DD/YYYY)? *
What is your phone number? *
What are your reasons for cancelling? *
Do you have any comments, complaints, or encouragements?
When do you want to cancel your membership? (EFT memberships must cancelled on the 10th of any upcoming month. The cancellation for a future date must also be on the 10th.) *
EXP(MM/10/YY)
Would you like an email confirming cancellation? If so, you should receive the email within 24-72 hours of submitting this form. (Check spam folders if not seen.) *
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