Back "*" indicates required fields Cancellation/Suspension - World Gym BurpengaryToday's Date* DD slash MM slash YYYY Name* First Last Email* Best Contact Phone Number*I wish to*Cancel My MembershipCancel My CrecheCancel My Creche and MembershipTransfer my MembershipSuspend My MembershipStart Date* DD slash MM slash YYYY End Date* DD slash MM slash YYYY What is the reason for your Cancellation?*FinancialRelocationMedical (A medical cerficate is required)Personal ReasonsCOVID - HardshipNot Using the GymI Don't Like The GymI've Joined Another GymOtherWhat is the reason for your Suspension?*FinancialMedical (A medical cerficate is required)Personal ReasonsHolidayWork CommitmentsOtherReason:*What has dissapointed you about your experience with us?*How do you rate your time with us at World Gym Burpengary? Any feedback on our facilities is appreciated.Would you be interested in re-joining in 6 – 12 months?*Yes – please provide more informationNoYou may be eligible for a lifetime renewalYour cancellation enquiry will be processed by our Member Care Manager who will be in contact with you during business hours. Note that if you wish to cancel your membership; as per the terms and conditions: you understand that if you are currently in term of your contract period there is a $250 cancellation fee & 30 days notice. If you are out of term, you must provide 30 days notice. Your 30 day notice period will commence after discussion and confirmation with our Member Care Manager; not by the date this form is signed. Please be aware that after your account has been closed that there is no guarantee that you will receive the same rate if you wish to return and joining fees may apply.* I understand the following:Your cancellation enquiry will be processed by our Member Care Manager who will be in contact with you during business hours. Note that if you wish to cancel your membership; as per the terms and conditions: you understand that if you are currently in term of your contract period there is a $250 cancellation fee & 30 days notice. If you are out of term, you must provide 30 days notice. Your 30 day notice period will commence after discussion and confirmation with our Member Care Manager; not by the date this form is signed. Please be aware that after your account has been closed that there is no guarantee that you will receive the same rate if you wish to return and joining fees may apply.There is a fee of $79 associated with the transfer of memberships, this can either be payed over the counter or via the transferees first payment date. The process of transferring your membership takes a period of 30 days in order to complete. Payments associated with your account will continue to occur within these 30 days. Please be aware that after your account has been closed that there is no guarantee that you will receive the same rate if you wish to return and joining fees may apply.* I understand the following:There is a fee of $79 associated with the transfer of memberships, this can either be payed over the counter or via the transferees first payment date. The process of transferring your membership takes a period of 30 days in order to complete. Payments associated with your account will continue to occur within these 30 days. Please be aware that after your account has been closed that there is no guarantee that you will receive the same rate if you wish to return and joining fees may apply.Paperless Signature* I agreeI understand by typing in my name and pressing submit, that the information is true and correct.Electronic Signature - Please enter your name*SignatureStaff Members Name*
