CANCELLATION FORM

Membership Number:______________________

Member Surname: NASCIMENTO

First Name: CAROLINE______________________________

Membership Type: _______________________________________________________________________________

Contact Number:
0899567094_________________________________________________________________________________

E-mail Contact:
CAROLINEESTER85@GMAIL.COM____________________________________________________________________
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CANCELLATION

TERMS of Cancellation

● I / we understand that it is 1 calendar month notice to cancel any membership with Saint James Gate health
& fitness club.
● I / we will notify the bank to confirm cancellation of direct debit instruction.
● Should in the nearby future I / we wish to reinstate membership at the Saint James Gate health & Fitness
Club it is understood that a joining fee maybe applicable at the time of re-joining.

I / we would like to CANCEL Saint James Gate health & fitness club membership from: 01 of
February________________________

Signed: ____________________________________________ Date: _______________________________________

REASONS for Cancellation of

I was looking for a gym who had a swimming pool unfortunately st james gate swimming pool
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