Membership Cancellation Form - 10 Day Notice Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *How satisfied were you with your overall experience at CrossFit Jenks? *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5How satisfied were you with the coaching you received from CrossFit Jenks? *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Were you satisfied with the cleanliness at CrossFit Jenks? *Rate 1 out of 5Rate 2 out of 5Rate 3 out of 5Rate 4 out of 5Rate 5 out of 5Reason for Cancelling *HealthCostMovingDo Not UseJoined another facilityOtherUnsatisfied with Programs or Service (please comment)CommentsWould your recommend us to your friends and family? *YesNoI acknowledge the 10-day notice requirement and understand that I should submit my cancellation notice at least 10 days in advance. Failure to do so will result in the account being drafted for the following month. *I understandSubmit