I understand that by submitting this form, my membership will be reviewed to verify that I have met my contract term.
If I have not met my contract term, I will be assessed a $200.00 termination fee.
I understand that if I submit the Termination Form ON OR AFTER THE 15th, I will be billed the following month. All payments are non-refundable.
You MUST check each checkbox option in order to submit the form. The form will NOT submit if the checkboxes or required fields are not entered.
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