Modo Yoga LA Membership Cancellation Request
The Be Awesome Membership can be cancelled at any time. However, if cancellation is being requested within the first four months of the membership, there is an early cancellation fee of $200. Any request for cancellation must be submitted at least 5 days in advance of the next pre-authorized payment date. Please provide the following information to request cancellation.You will receive a confirmation email upon processing. (NOTE: Completing this form will not automatically terminate your membership, but submits your request for processing.)
MEMBER FIRST NAME *
Your answer
MEMBER LAST NAME *
Your answer
MEMBER PHONE NUMBER *
Your answer
MEMBER EMAIL ADDRESS *
Your answer
MEMBER HOME STUDIO *
WHEN WOULD YOU LIKE THE CANCELLATION TO TAKE EFFECT? (Please note: Your cancellation date cannot be backdated.) *
MM
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DD
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YYYY
REASON FOR CANCELLATION *
*
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