ARCHIVE Membership Cancellation Request
Your Be Awesome or Fully Loaded Membership request can be submitted at anytime but requires at least 7 days notice prior to the next pre-authorized billing date. Cancellation requests are processed within 48 hours and you will receive a confirmation email upon processing. Please provide the following information to request cancellation. 

Note: Completing this form will not automatically terminate your membership, it only submits your request for processing. Thank you for all your sweat and for being part of the Modo Yoga LA community.
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Email *
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.) *
MM
/
DD
/
YYYY
Reason for cancellation: *
I understand that my request must be submitted 7 days in advance of my next pre-authorized payment date in order to avoid an additional monthly charge. *
A copy of your responses will be emailed to the address you provided.
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