Membership Resignation Form
Please use this form to cancel your Center membership. Notice of termination of membership must be submitted in writing thirty (30) days in advance. Additionally:
1) Any and all indebtedness has been paid in full or an acceptable payment schedule between the member and the Center has been agreed upon in writing, and
2) All items have been removed from any rented locker(s).
Any questions? Email Lorraine, Member Account Representative, firstname.lastname@example.org
By writing my name below, as the Primary Account Holder, I am authorizing the termination of my Center membership.
Optional - Please help us with your feedback by completing the questions below:
What is your reason for leaving?
Moved out of the area
Lack of use
Joined another facility (name in box below)
Explain any of your above answers.
Did you enjoy your experience of being a member at the Center?
If you could change one thing about the Center, what would it be?
Do Not Fill This Out