30-Day Membership Cancellation Request Form

WE'RE SORRY TO SEE YOU GO!

Please read our cancellation requirements before filling out the form!

30 Day notice required
If your are still within a discounted service membership (12 month) when cancelling, there is a $150 early termination fee
All membership cancellation requests must be routed through the Membership Cancellation form on the Lacon Fitness & Tan website in order to be processed.

Reason for Membership Cancellation*

How satisfied are you with the Coaching Staff and their attention to your fitness goals and needs?*

Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied

How would you describe your satisfaction with the facilities; including equipment, parking, and accessiblity?*

Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied

How would you rate your overall experience?*

Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied

Would you recommend our gym to other athletes if asked?*

Definitely Not Probably Not Not Sure Probably Definitely

Additional Comments/Questions:

I agree to the Membership Cancellation Policies:
• 30 Day notice required
• If your are still within a discounted service membership (12 month) when cancelling, there is a $150 early termination fee
• All membership cancellation requests must be routed through the Membership Cancellation form on the Lacon Fitness & Tan website in order to be processed.

1129 5th Street, Lacon IL 61540
(309) 246-8266

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