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CONTACT USYour contact information:
First name:	* required
Last name:	* required
Address: Address:	* required  * required
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Email address:	* required
I AM USING THIS ACCOUNT NO. FOR BILLING: Store Location:	Plano Las Colinas Flower Mound Dallas-Mockingbird
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CHANGE BANKING INFORMATION FREEZE MEMBERSHIP $5.88/mo for up to 6 mos., you must provide an alternate credit card for security	* required
COMMENTS or QUESTIONS? write them here
TO CANCEL, PLEASE USE FORM BELOW:

CANCELLATION FORM
CALL 214-708-7330 TO GET A CANCELLATION CODE AND ENTER IT BELOW:  * required  * required  * required  * required  * required  * required  * required  * required Pick your store location Plano Las Colinas Flower Mound Dallas-Mockingbird
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CANCEL MEMBERSHIP: Please accept my 30 day advance notice to cancel my membership. I have authorized and affirm the monthly payments charged to my account since enrolling and including all account fees charged to close the account. If I chose to borrow the membership fee at the time of enrollment instead of paying it up front, I did so in order to set up a "punishment" for myself so I would not quit before I completed the 100/150/300 workouts following the instructions on my workout sheet) or would not quit before I reached my (BODY FAT) GOAL. I borrowed this so the loan would incentivise me to stay and complete the program. Instead, I have decided to cancel anyway so please immediately charge me the $199 or $299 membership fee I borrowed when I enrolled. Please also charge all remaining payments due today, if any. I understand that I may return at any time after this fee is paid and resume my membership on a month-to-month basis at $13 per month. You may use any comments I have made for training and internet postings. IF YOU HAVE REACHED YOUR BODY FAT GOAL AND HAD IT VERIFIED ON THE STORE'S TANITA SCALE BY A MANAGER, PLEASE ENTER THE VERFICATION CODE BELOW IF YOU HAVE REACHED YOUR 100/150/300 WORKOUTS GOAL AND YOU WOULD LIKE TO APPLY TO HAVE YOUR BORROWED MEMBERSHIP FEE WAIVED, YOU MUST FAX YOUR REQUEST AND YOUR WORKOUT SHEETS TO (972-398-2827) FROM YOUR WORKOUT LOCATION BEFORE YOU SUBMIT THE CANCELLATION FORM.  IF YOU QUALIFY, THE OFFICE MANAGER WILL EMAIL YOU A CONFIRMATION CODE.  ENTER THAT CODE BELOW: