CF TEST CF2 Date * Member Name * Member Email Address * Member Phone Number * ASF Account Number * Membership Status (check all that apply) Open In Contract Past Due Collections Has Personal Training 30-day cancellation notice effective today, however, must contact Admin to process cancellation Term Expiry * Amount Past Due * Paid In Club? * Yes No Amount Paid * 30-day cancellation notice effective today, however, must contact Admin to process cancellation See Admin Cancellation Reason * Not Using Moving, not in contact Early Termination Moving But Still in Contract Medical Home Gym Competing Gym 7 Day Cancel Have Proof of Moving documentation been provided? * Yes No Moving but still in Contract - Submit Freeze request for 3 months - Cancellation will be effective when move documents received. Provide Parmed X Form and Submit N/C Freeze For 3 Months Early Termination * Pay Early Termination $208.95 Pay Early Termination $135.45 7 Day Cancel Refund Required? * Yes No What happened? * Competing Gym: Which One? * Amount * Final Payment Date * Final Payment Amount * Final Date Allowed In Club * Evolution Fitness Representative * reCAPTCHA
