Cancellation Request Form

Member Name*

First Last

Email*

Phone*

Cancellation Policies

We are sad to hear you would like to cancel your membership and/or personal training, but hope you have enjoyed your time with us! Please be advised that this form is only a request for cancellation and does not confirm that your account has been cancelled. Additional steps may be required. You should receive follow-up confirmation within 72 hours either requesting additional information to complete your request or confirming your cancellation via the email on file. If you do not receive confirmation, please contact MTKG INC Member Services at support@mtkgym.com, 818-982-2790) to confirm receipt of all required documentation and fees, if applicable. A summary of current cancellation terms and conditions can be found below; however, please refer to your individual Membership or Personal Training Agreement for exact policies and additional information as it pertains to your individual Agreement.

Why Are You Considering Leaving Us?*

Your feedback is important to us. Please list any underlying reasons contributing to your decision.

Want to try something new
Health Issues/Injuries

When Does Your Contract End?*

Cancellation Terms and Agreement*

I agree to the MTKG Cancellation Policy and understand that I will be billed another month if I am within *30 days* of month expiration. I also understand that I am liable for any pending fees, charges, or money owed. I also agree and understand that if I am cancelling a contract early, I am to pay 50% of my remaining term. And finally, I also understand that I may be charged a reinstatement/sign-up fee if I were to return. I also leave MTKG without any claims against it or its partners and understand that cancellation of my membership means an end to my relationship with MTKG but that I am always welcomed to return.

Signature*

30 Day Notice Policy*

I agree that cancellations must occur within a 30-day notice of my next billing period.

Signature

Contract Termination Policy*

I agree to pay 50% of the remaining term to terminate contracts before the anniversary of my term.

Signature

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Cancellation Request Form

Cancellation Policies

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