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Membership Hold Request

THIS IS NOT A TERMINATION REQUEST

Please select the option that best describes your reason for hold:
Membership hold request duration
1-Month
2-Months
3-Months (must be approved)
Check the boxes below acknowledging your understanding of the terms:

Membership Cancellation Request

Please select the option that best describes your reason for leaving
How well did the coaching staff attend to your fitness goals and needs?
Extremely Well
Very Well
Well Enough
Slightly Well
Not Well Enough
How would you describe your satisfaction with the facilities including equipment, parking and accessibility?
Extremely Satisfied
Very Satisfied
Satisfied
Somewhat Unsatisfied
Very Unsatisfied
How likely are you to recommend us to a friend?
Extremely Likely
Very Likely
Likely
Unlikely
Very Unlikely
All boxes must be checked in acknowledgement for the form to be considered complete

Steel Lotus Fitness Company
75 Utley Drive, Suite 109
Camp Hill, PA 17011

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