Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Mobile *Salary ID (if applicable)Reason For Cancelling *Transferred to another locationNot using the facilitiesSickness / InjuryPrice ChangesGym closer to homeLack of equipmentTerminationMoving overseasOtherPlease specify:Cancellation Date: *DD12345678910111213141516171819202122232425262728293031MM123456789101112YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920As per the terms and conditions, we require 2 weeks notice for all changes in membership. As a result, your requested cancellation date will be applied to the next available cancellation period. Declaration 1 *I acknowledge that by submitting this form I forfeit my membership and access to the facilities under this agreement. Declaration 2 *I acknowledge that any monies owing, whether it be membership fees or other associated fees will be paid in full.Declaration 3 *I acknowledge that I am aware that there may be a $59.00 administration fee applied if I wish to restart my membership.As part of your membership you are entitled to 6 weeks of suspension every year. Take advantage of our suspension options to avoid this fee and get back into fitness!Please rate your experience at the Kogarah Gym *Rate 1 out of 10Rate 2 out of 10Rate 3 out of 10Rate 4 out of 10Rate 5 out of 10Rate 6 out of 10Rate 7 out of 10Rate 8 out of 10Rate 9 out of 10Rate 10 out of 10Please provide details on your experience:PhoneSubmit
