Membership cancellations

1. First name*
2. Surname*
3. Email*
4. Membership or Token Number #
5. Effective Cancellation Date*
6. Why did you join us ?*

   Please give us a brief description of why you joined the Margaret River Recreation Centre

7. Why are you leaving?*

   Please tell us why you have made the decision to leave your membership

8. Is there anything we can do to convince you to stay?*

   Please let us know if there is anything we can do to convince you to stay or can improve on ?

Did we meet your expectations? *

YesNo

9. If we did not meet your expectations, please tell us why.

   So we can continue to try and meet and exceed community expectations, your feedback on where we can improve would be greatly appreciated.

Please indicate the reason(s) which describes your need to cancel membership*

Changed gym or providerIllness or injury (evidence required for refund)Leaving or moving away (evidence required for refund)No longer using gym or facilitiesOther

* denotes a required field.