FORGING ELITE FITNESS

MEMBER(s) NAME

I am cancelling because

Family Illness
Financial Burden
Moving
Do Not Use
Unsatisfied with Program/Service (please comment)
Joined another Facility
Other

Comment

PLEASE HELP US IMPROVE BY COMPLETING THIS BRIEF SURVEY

CLEANLINESS

EXCELLENT
GOOD
AVERAGE
POOR

FRIENDLINESS/HELPFULLNESS OF STAFF

EXCELLENT
GOOD
AVERAGE
POOR

QUALITY OF PROGRAM

EXCELLENT
GOOD
AVERAGE
POOR

Please share any other comments that would be pertinent.

By submitting this form, I am giving CrossFit Effingham my 30 day written notice to cancel my membership.

I understand that my membership will be canceled 30 days from the date this form was submitted.
I understand that I will be billed for discounts I received for the term at which I was a paying member, if I am cancelling before the end of my contract date.
I understand that I will be charged/debited one additional month, for the use of the facility during my 30 day cancellation period. Upon completion of the 30 day cancellation period, my membership shall then be considered terminated. Should I choose to rejoin after the termination of my membership, I will have to pay at the then current rate.
I understand that if I am requesting to cancel my membership while it is on hold, that the membership will become active and the 30 day cancellation window will begin.