Membership Cancellation Form
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Email *
Print Name *
Phone Number *
I am requesting my membership at CrossFit Conquest be cancelled.
I understand that there is a 30 day cancellation period as written on my original billing form (a copy of this form can be furnished upon request).   *
I understand that this 30 day cancellation notice means I will have ONE FINAL payment. *
I understand that I may use CrossFit Conquest and all classes for exactly 30 days after my final payment. *
I also understand that if I cannot use my final 30 days, I can assign them to a NON MEMBER, and they can use this time in my stead.  That person must submit an intro workout form through the website, and I must inform either Jon Coddaire or Paul Moran of the assignment of this time and to whom. *
Reason for Cancellation: *
Print Name (This will serve as your electronic signature.) *
A copy of your responses will be emailed to the address you provided.
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