Before cancelling your membership, please understand that you can freeze it temporarily. This may be a more compatible solution for your plans. Go here to freeze a membership. If you do wish to terminate your membership, simply complete the following Termination Request form.

termination request


MEMBERSHIP TERMINATION REQUEST

I am hereby requesting that the Membership and/or Team session(s) be terminated as indicated below.

Primary or Household Member Name
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Please enter the name of the Primary Membership Account Holder

Primary/Household Member ID # (Scan card/Key FOB)

Termination Type    

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Please select what service you wish to terminate.

Requested Termination Effective Date

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Please select what month your would like to terminate your membership.


I UNDERSTAND THAT:
•I will no longer be eligible for Membership or Team Benefits.
•My termination is not effective until a Termination Request has been submitted and received by Inner Peaks, per my membership contract.
•As a Primary Member responsible for a Family or Household membership, when I terminate all members associated with my account will also be terminated.
•As a Household Member, I may terminate my membership independent of the Primary Member.
•Termination Request must be received by the 20th of the month prior to Termination Effective date.
•No refunds are made for Termination Requests received after the 20th of the month.
•Should I determine at a future date to resume my membership, I may be required to pay a membership join fee.
By providing my signature, I acknowledge and agree to the terms outlined herein.

Signature:
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Please acknowledge terms by entering your name. If membership account name and date of birth do not match, this Termination Request will be voided.

Accountholder Date of Birth (mm/dd/yyyy)
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Please enter primary account holder’s date of birth.

Accountholder’s Email
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Please enter primary account holder’s email address for confirmation.

Contact Phone
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Please provide a contact phone number.

Reason for Termination


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If you are not sent to a Confirmation page, please call 704-844-6677 or 980-242-3244 for assistance.