MEMBERSHIP TERMINATION FORM

We're sorry to see you go! Please use this form to terminate your Membership with Evergreen Holistic and we will confirm your request via email. As per your membership contract, if you haven't completed your minimum commitment period a termination fee will be chargeable.

Going on holiday or need time away from practice?

Then please use our suspension form instead.

First Name

Last Name

Email Address associated with your Account

Please type "Membership Termination" in this box

What is your reason for leaving? (optional)

Is there anything we can do to improve? (optional)

Please accept the following statement by checking this box: I understand that if I haven't completed the minimum term a termination fee will be charged to my account as per my membership contract.

Thanks for submitting! A confirmation will be emailed soon.

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MEMBERSHIP TERMINATION FORM