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Get Gold's Gym Request for Cancellation of Month-to-Month Membership

_____________ (PRINT MEMBER NAME) __________________ * (MEMBER NUMBER) (DATE)________________________ Your contract REQUIRES 30 DAYS WRITTEN NOTICE. YOU ARE RESPONSIBLE FOR ALL FEES UNTIL YOUR CANCELLATION IS EFFECTIVE. If your billing date falls within 30 days from when you send in your form you will be billed again. Cancellations will NOT be processed if your membership account has a balance. This form IS a written notice. If mailing, please make a copy of this form for your records. ALL CAN.

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