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
MEMBER LAST NAME
MEMBER PHONE NUMBER
MEMBER EMAIL ADDRESS
MEMBER HOME STUDIO
WHEN WOULD YOU LIKE THE CANCELLATION TO TAKE EFFECT? (Please note: Your cancellation date cannot be backdated.)
REASON FOR CANCELLATION
Injury or health reason
Traveling for longer than 3 months
Joining another fitness studio or gym
Schedule and/or time limits
No convenient studio locations
I understand that my request must be submitted 5 days in advance of my next pre-authorized payment date in order to avoid an additional monthly charge.
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