Membership Cancellation / Change Form
To effectively cancel your membership, please submit your cancellation form 1 month prior to your next auto-pay. Immediate cancellation ($50 + GST) and downgrade options are available. *Promotional offers are not available for downgrade.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Mobile Number *
Your answer
Membership Type *
Please select your Membership (Unlimited Classes vs. Power Plate®) or Class Pack type
Reason for Cancellation *
Your answer
Cancellation Type *
If you selected 'Upgrading or Downgrading' please select the service you would like applied to your account. Pricing details are available on our website.
Please process my request and charge my card on file. *note: processing time may take up to 7 business days. *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of PUR Movement.