Membership Cancellation Request

First Name *

Last Name *

E-Mail used at Signup *

Membership/Subscription Number *

Date for cancellation to take effect *

Reason for cancellation *

Please tell us how we could have done better or how we can further improve our services *

I understand that by cancelling my membership, I will no longer have unlimited access to yoga classes at LLLY or any other benefits connected to my membership. Furthermore, I understand that my current membership rate will no longer apply, should I decide to sign up again. *

0 + 5 = ?Please prove that you are human by solving the equation *