Suspend or Cancel | The Well

@thewelleauclaire

Membership Suspension or Cancellation for The Well

* Indicates required field

Name *

First

Last

Email *

Phone Number *

I want to... *

Suspend Cancel

If suspending... choose requested length of suspension *

1 Month 2 Months 3 Months I am cancelling, not suspending.

If suspending, your membership will automatically renew after the selected duration above.

Reason for Suspension or Cancellation *

Finances I'm not feeling motivated to use my membership My schedule changed I am unhappy with The Well Injury or Medical Other

Additional Comments - Your feedback is helpful & appreciated! *

If I choose to cancel or suspend, I understand I agreed to provide a minimum 30 day notice via this web form. *

Yes, I understand.

Preferred Suspension Start or Cancellation Date (30 day minimum required) *

Electronic Signature *

SUBMIT

The Well | 40 S Barstow Street Eau Claire | info(a)theWELLeauclaire.com | @thewelleauclaire | (715) 598-1522