Name *

First Name

Last Name

Phone *

(###)

###

####

Would you like to cancel your membership, or transfer it to a friend? *

If you are canceling your membership before your second month, you can avoid the fee for not maintaining your first auto charge by transferring it to a friend! Your friend will also receive your same membership rate, even if membership rates have since increased!

Please transfer my membership to a friend

Please cancel my membership

Date You Would Like to Cancel or Transfer *

Please note that we are unable to retroactively cancel your membership.

MM

DD

YYYY