MBL Cancellation Request Form

I’M SORRY TO SEE YOU GO!

Sign in to Google to save your progress. Learn more
Email *
First & Last Name  *
Today's Date  *
MM
/
DD
/
YYYY

If you’re sure you’d like to cancel, just complete, and submit this form. This will serve as your 30-day written cancellation notice of your monthly gym agreement. 

Your monthly dues will be canceled 30 days from the submission date of the form below.

*Note that if you have a scheduled payment within this period, the payment will be processed as scheduled. All payments are non-refundable.

If you decide to reactivate your monthly gym dues in the future (and I hope you do) rates in effect at the time of reactivation will be applicable as rates are subject to change.

You will be provided with a confirmation email within the next few days confirming your membership cancellation. 

If you have anymore questions please call us at (562) 588-3939 or email us at Motivatedbylisa@gmail.com. 

*
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy