JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Cancellation forms
FOR EFT MEMBERSHIPS ONLY. YOUR MEMBERSHIP CANNOT BE CANCELLED IF IT IS PREPAID
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What is your first name?
*
Your answer
What is your last name?
*
Your answer
Please list the first and last names of the person(s) who are being cancelled.
*
Your answer
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.
Your answer
What is your birthday (MM/DD/YYYY)?
*
Your answer
What is your phone number?
*
Your answer
What are your reasons for cancelling?
*
Your answer
Do you have any comments, complaints, or encouragements?
Your answer
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)
Your answer
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.)
*
Yes
No
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
