Name *

First Name

Last Name

Agreement *

I am notifying you of my 30 days notice to cancel my monthly unlimited membership. I understand and verify that I have been charged a minimum of 3 times, totaling at least 3 months of membership. I understand that after sending this notification, I will be charge once more to complete my membership. Thank you.

Yes I meet the stated requirements and I agree

No, I do not meet the stated requirements, but would like you to consider my request for the reasons stated below.