Name *

First Name

Last Name

Phone *

(###)

###

####

Which membership(s) would you like to change? *

Unlimited Group Training

Nutrition

At Home Training

JuJitsu

Scan Plan

Personal Training

What change would you like made? *

Cancel membership

Switch to a different membership

Request a hold until a specified date

If requesting a hold, what is your return date?

MM

DD

YYYY

How well have the coaching staff taken care of your fitness goals and needs? *

Extremely well

Very well

Moderately well

Slightly well

Not at all well

How likely are you to recommend Pace Fitness to a friend? *

Extremely likely

Very likely

Moderately likely

Slightly likely

Not at all likely

*

I understand that cancellation of my membership prior to the expiration of any specified commitment period requires an early termination fee equal to the standard non-discounted month-to-month rate.

I understand that 2 weeks notice is required to cancel any membership and if my membership is due for renewal within 2 weeks from today it will be renewed one more time before being discontinued.