FIT4MOM Ashburn Membership Cancellation Request
Effective January 1, 2019:

*Your request must be filled out 30 days before your autobill date.

*You will receive notification of your cancel request before the end of your last month of classes.

*We will not go back and credit dues once they have been paid. All requests are for future months only.

*Once you cancel your membership, should you decide to rejoin, you will be charged a $50 reactivation fee.
Email address *
Your Name *
Your answer
By clicking below you are agreeing to the terms of the cancellation policy which states memberships are only cancelled 30 days before your autobill date. * *
Please tell us why you are canceling your membership. We are always looking for ways to better serve you, so please leave any information you feel would be helpful. *
Your answer
Which instructor did you attend class with on a regular basis? *
Your answer
Would you recommend FIT4MOM to a friend? * *
Your answer
If you were not completely satisfied with our program, please tell us how we could improve. *
Your answer
Never submit passwords through Google Forms.
This form was created inside of FIT4MOM. Report Abuse - Terms of Service