CrossFit Cypher Change Request Form
What TYPE of Cypher Membership would you like to change?
Please submit a separate form for each membership your would like to change.
Monthly CrossFit Group
Monthly Nutrition Coaching
Monthly Personal Training
What is the current Level of your Cypher Membership you would like to change FROM?
What is the next Level of your Cypher Membership you would like to change TO?
Would you like to CHANGE your next membership renewal (i.e. 1st of next month), or take a break and RESTART your membership at a future date?
CHANGE NEXT RENEWAL
TAKE A BREAK AND RESTART LATER
If you would like to take a break for travel or other reasons, when would you like your membership to RESTART?
Note: This date must be at least 2 weeks after your current membership ends. Your next membership will be pro-rated based on the date you specify.
Please select the best reason for your change request:
Additional Questions, Comments, and/or Feedback:
Is a Member or Cypher Staff submitting this form?
I have read and agree to the CrossFit Cypher Membership Policies, and acknowledge that this form must be submitted by no later than 8PM PST on the 20th day of the current month in order to take effect.
Please print your Full Name to e-sign
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