MEMBERSHIP CANCELLATION MEMBERS ONLY CANCELLATION We’re sad to see you go! Fill in your information to request your cancellation. *only members are allowed to cancel membership if they are out of their contract. Name* First Last Email* Phone*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Reason for cancellation Medical Non-Usage Financial Relocation Other * I AGREE TO THE PRIVACY POLICY AND CONSENT TO COMMUNICATION FROM RESULTS GYM INCLUDING CALLS AND EMAILS. BY PROVIDING YOUR PHONE NUMBER AND EMAIL ADDRESS, I CONSENT TO THE PRIVACY POLICY AND TERMS AND CONDITIONS TO RECEIVE SMS TEXT MESSAGES FROM RESULTS GYM. MESSAGE AND DATA RATES MAY APPLY. MESSAGE FREQUENCY VARIES. YOU CAN OPT-OUT AT ANY TIME BY TEXTING STOP, OR HELP FOR ANY HELP AS A RESPONSE.