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Central Labrador YMCA Membership Cancellation Form
YMCA
2021-06-18T16:43:52-02:30
Home
Central Labrador YMCA Membership Cancellation Form
Central Labrador YMCA Membership Cancellation Form
Your Name
(Required)
First
Last
Your Birthday
(Required)
Day
Month
Year
Your Phone Number
Your Email Address
List the name of the member(s) on the account whose membership is to be cancelled:
Person 1
(Required)
Person 2
Person 3
Person 4
Person 5
Person 6
Person 7
Please tell us why each membership is cancelling at this time:
(Required)
Are any members that are being cancelled today enrolled in programs such as group swim lessons, Karate or After Day Play?
(Required)
Yes
No
Confirm Cancellation
(Required)
By clicking the "I Agree" box below, I confirm that I wish to cancel the above noted memberships, and that I have read, understand and agree to the cancellation process and specifically the terms below.
I am the payer on the accounts I have indicated for cancellation above, and understand if I am not, the membership(s) will not be cancelled, and the payer will need to submit this form.
I understand in order to cancel, any outstanding fees must be paid.
I understand the membership(s) will remain active until the cancellation is confirmed via email, which can take up to 72 hours. My account will be charged during this time.
I understand the membership(s) with an outstanding balance will be cancelled, but I remain responsible to pay all outstanding balances associated with the membership(s). Failure to pay outstanding balances may result in the account being referred to a collections agency, and legal action may be taken to recover the amounts.
I Agree
Δ
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