Name
email
Phone Number
I understand I need to send this form 3 operating days prior to my next billing date.
Per membership agreement. I understand if I submit this form within 3 operating days of my billing date, I will be billed and unable to receive a refund.
Please Select —Please choose an option—CANCEL my membership for the next billing dateFREEZE my membership for the next billing date
Signature: by typing name it acts as a signature
