cancellation request Request cancellation fill out the form Name Email Address Date How would you rate your time at Effect Us? How would you rate your time at Effect Us? 1 (lowest) 2 3 4 5 (highest) How would you rate the cleanliness of the facilities? How would you rate the cleanliness of the facilities? 1 (lowest) 2 3 4 5 (highest) How would you describe your satisfaction with the coaching you received? How would you describe your satisfaction with the coaching you received? 1 (lowest) 2 3 4 5 (highest) Would you recommend us to your friends? Would you recommend us to your friends? 1 (lowest) 2 3 4 5 (highest) What could we have done to improve your experience at Effect Us?? I understand memberships are not prorated upon cancelation and that if an agreement is terminated early the balance for all active months is owed upon cancelation. I understand memberships are not prorated upon cancelation and that if an agreement is terminated early the balance for all active months is owed upon cancelation. I agree I understand my membership will be canceled 30 days from the submission of this form. I understand my membership will be canceled 30 days from the submission of this form. I agree Send Message
