Ymca 30 Day Termination Notice
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1Staff Initials: _______________
Today's Date:_________________
30 Day Termination Notice
(Debits are scheduled for the 1
or 15
of each month)
st
th
I_________________________________ wish to terminate my monthly draft Membership at the Cambridge YMCA
Address: ____________________________________________________ Email: _______________________________________________
Phone: _________________________________
Do You Have A Locker?
__Yes __No
Type of Membership
(check one)
_ Basic Membership
_ Women's Premium (towels/locker)
_ Men's Premium (towels/locker)
Length of Membership
_Over 5 years
_Over 1 year
_Over 4 months
_Up to 4 months
Reason for Termination
_ Relocation
_ Switching to Another Facility
_ Monetary Problems
_ Dropping for Winter/ Summer
_ Medical
_ Other ___________________________
_ No Longer Using Facility
How do you rate the facilities at the Cambridge YMCA?
_Excellent
_Good
_Average
_Poor
How do you rate the Staff Members at the Cambridge YMCA?
_Excellent
_Good
_Average
_Poor
What was the primary reason for joining the Cambridge YMCA?
_Location
_Facilities
_Cost
_YMCA Mission
Which two facilities do you use most frequently at the Cambridge YMCA?
_Pool
_Free Weights
_Boxing
_Water Aerobics
_Cardio Equipment
_Strength Equipment
_Yoga
_Personal Training
_Nautilus
_Racquetball Courts
_Aerobic
_Olympic Lifting Room
_Indoor Track
_Basketball Courts
_Dance
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Parent category: Business