GREATLIFE TOPEKA

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CANCELATION REQUEST FORM

Your membership may be cancelled by completing this form on or before February 28th (effective April 1) of the year in which you wish to terminate. Early termination will only be accepted in the event of a member who passes away or is called to active military duty (documentation must be provided). If a member moves or is transferred (in or out of state), is involved in a divorce, becomes unable to use the facilities, etc. they are liable for dues through the remainder of the fiscal year (March 31). This request is not final until all requirements are met and verified.

Name(Required)
Address(Required)
Best Number to Call(Required)
Best Time to Call(Required)
Method of Payment(Required)
Reason for Cancellation(Required)

I hereby turn in my notice to cancel my membership with GreatLIFE Golf &Fitness. I realize that if I decide to rejoin, I may be required to pay another initiation fee. I realize that I am responsible for any balance due on my account (charges and dues) through the end of the fiscal year (March 31).