Name *

First Name

Last Name

Phone *

(###)

###

####

Cancellation date request *

Request must be submitted at least 30 days before cancellation date

MM

DD

YYYY

Cancellation Policies *

You may cancel at any time after the initial commitment period is up. Monthly membership cancellations require a written request of cancellation through our website or to be sent to contact@crossfitechopark.com.You must complete your cancellation request thirty (30) days prior to the next billing cycle. Membership will be cancelled 30 days from the date form is submitted. You will be charged/debited one additional month, for the use of the facility during the 30-day cancellation period. Upon completion of the 30-day cancellation period, membership shall then be considered terminated. Early Cancellation: If you are still within your initial contract commitment period, there will be a charge for early cancellations of $50 per month remaining in the contract commitment.

I agree to the above terms.

Immediate Cancellation Request

*If you would like to cancel your membership immediately you may do so for a $50 Immediate Cancellation charge. Only check the box below if Immediate Cancellation is requested.

I would like to cancel my membership effective immediately for a $50 charge.