Change of Membership Status

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Change of Member Status
Today's Date*
Day
Month
Year
Name*
First Last
Email*
Best Contact Phone Number*
What is the reason for the change in your Membership Status?*
Comment:*
What has disappointed you about your experience with the membership?*
Help us grow and glow, any feedback on our facilities is appreciated.
Your members status enquiry will be processed by our Sales/Member Care Manager who will be in contact with you during business hours. Our Sales team will explain the process with you. Thank you for your feedback and helping us grow and glow!!*
I understand the following:
Your members status enquiry will be processed by our Sales/Member Care Manager who will be in contact with you during business hours. Our Sales team will explain the process with you. Thank you for your feedback and helping us grow and glow!!
Paperless Signature*
I agree
I understand by typing in my name and pressing submit, that the information is true and correct.
Electronic Signature - Please enter your name*
Signature
World Gym Burpengary | 159-161 Station Road, Burpengary Q 4505 | P 3053 3170 | E: reception@worldgymburpengary.com.au

Change of Member Status