Miracle Tanning, LLC Membership Cancellation Form
Primary Location: [ ]Rockford [ ]Cadillac
Name:__________________________________________________________
Billing Address:__________________________________________________
Phone Number:___________________________________________________
I, __________________________________________________,
would like to cancel my [ ] Gold $19.99 [ ] Platinum $29.99
[ ] Bronze $19.99 [ ] Diamond $39.99 [ ] Magic $69.99 EFT Membership at Miracle Tanning started on ______/______/_______
and ending on _______/________/________.
I understand that I agreed to a 3-month membership and if I cancel before the 3 months I will be charged a $50 early cancellation Fee.
I understand that all cancellation notices must be received at least 4 business days before the scheduled billing date, otherwise one final debit will be made as scheduled.
Client Signature:___________________________________________
Today's Date:_______/_________/_________
Employee Signature:___________________________________________
Primary Location: [ ]Rockford [ ]Cadillac
Name:__________________________________________________________
Billing Address:__________________________________________________
Phone Number:___________________________________________________
I, __________________________________________________,
would like to cancel my [ ] Gold $19.99 [ ] Platinum $29.99
[ ] Bronze $19.99 [ ] Diamond $39.99 [ ] Magic $69.99 EFT Membership at Miracle Tanning started on ______/______/_______
and ending on _______/________/________.
I understand that I agreed to a 3-month membership and if I cancel before the 3 months I will be charged a $50 early cancellation Fee.
I understand that all cancellation notices must be received at least 4 business days before the scheduled billing date, otherwise one final debit will be made as scheduled.
Client Signature:___________________________________________
Today's Date:_______/_________/_________
Employee Signature:___________________________________________
