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Membership Suspension or Cancellation for The Well
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Name
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First
Last
Email
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Phone Number
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Membership Type
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DUAL Membership | Unlimited at The Well & Latitude 44 Yoga Studio ($99/Month)
The Well Membership | Unlimited at The Well ($84/Month)
I want to...
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Suspend
Cancel
If suspending... choose requested length of suspension
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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
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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!
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If I choose to cancel or suspend, I understand I agreed to provide a minimum 30 day notice via this web form.
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Yes, I understand.
Preferred Suspension Start or Cancellation Date (30 day minimum required)
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Electronic Signature
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SUBMIT
