Membership Cancelation Request Please enable JavaScript in your browser to complete this form.Name *Email *Confirm Request *I request the cancellation of my ENTIRE membership.Please note that you cannot cancel a portion of the membership. For example, if you are a social and fitness member and wish to stop the social portion of the membership, you will need to submit a MEMBERSHIP CHANGE request.Current Month *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberCurrent Day of the Month *12345678910111213141516171819202122232425262728293031Cancelation Deadline *The deadline to cancel your membership for the upcoming month is the 20th of the current month. Please check here to confirm your understanding that your membership cancellation will NOT take effect until the following month.Memberships terminate on the 1st of each month. Which month are you requesting cancelation? *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberFinal Billing *MONTHLY memberships are billed on the last day of each month for the upcoming month. If you submit a cancellation request after the 20th, please confirm that you understand you will still be billed for one additional month.I’m requesting cancelation of my ANNUAL membership. I understand that I will be assessed and early termination of of $50, which will be subtracted from any applicable refund.Reason for Cancellation (choose one) *Don't have enough timeChange in health statusCaregivingCost/valueTransportation limitationsMoving awayJoining another facilityNot using membership enoughotherIn order to help us better serve our members, please indicate your reason for cancellation:Other reason for cancelation *Authorization *By checking this box you are confirming you are giving 125 LIVE permission to cancel your entire membership. If you have a dual membership you are representing both partiesComments/QuestionsSubmit
