Membership Cancellation Please complete the form below to make a request to cancel your membership. "*" indicates required fields Name* First Last Email* example@example.comMobile*0400 000 000Your Membership Type– Select –Health & Fitness MembershipAquaticsGOSwimReason for Cancellation*I'm lacking motivation at the momentNo time, too busy to continue trainingFinancially unable to continue membershipDissatisfied with the facilityMedical/IllnessPersonal ReasonsUnable to participate in regular exercise, permanent illness or disabilityMoving to different locationI agree to Terms and Conditions* Consent* I, the undersigned do hereby request that my direct debit membership be cancelled. I understand that a notice period is required for all cancellation requests (usually 30 days), unless specified otherwise on my contract. I understand that my membership cannot be cancelled while my account has overdue payments and I must pay all monies owing before cancellation can take effect.*PhoneThis field is for validation purposes and should be left unchanged.