Membership Cancellation/Hold Form

We are so sorry to see you go! Please take a moment to provide us with the information listed below to complete your membership cancellation or hold. If there's anything we can do to convince you to stay, please let us know!

 

Please fill out all applicable fields below.

Name *
Name
Effective Date *
Effective Date
This date cannot be in the past.
End Date (holds only)
End Date (holds only)
Maximum hold period = 4 months (120 days) You MUST fill out this field in order to apply a hold to your account.
Reason for Cancellation/Hold *
If you answered "Other" to the above question or have anything additional to add, please explain here:
Please confirm that you agree to the following: *
If cancelling, skip the last (third) box.