Membership Cancellation Request

MEMBERSHIP CANCELLATION

We hate to see you go. Please fill out this form and we will be in touch with you shortly

to finalise cancelling your membership.

A 28-day notice period applies, beginning from the first Thursday of our billing

cycle following your request.

We hate to see you go. Please fill out this form and we will be in touch with you shortly to finalise cancelling your membership.

A 28-day notice period applies, beginning from the first Thursday of our billing cycle following your request.

Membership Cancellation Request

Name

Phone number

Select the option that best describes your reason for leaving. Select the option that best describes your reason for leaving.

How would you describe your satisfaction with the coaching you received from us?

How clean were the facilities?

How satisfied were you with your overall experience?

Would you recommend us to your friends?

Additional Comments/Questions

I understand that a 28-day notice period applies, beginning from the first Thursday of BPM's billing cycle following my request.

Yes

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ADDRESS

376 Hampton Street, Hampton VIC 3188

CONTACT

1300 682 609

hampton@bpmhealth.com.au