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The EDGE

Essex/South Burlington - Vermont

SimplePay Membership Cancellation

  • I understand that by cancelling my membership, I am forfeiting the current membership rate that I am paying.
  • I understand that it is my responsibility to contact the EDGE within 30 days if I experience any billing error.
  • I understand that payments already made are not refundable.
  • I understand that this cancellation form is for SimplePay Memberships only.
  • I understand that this cancellation is not considered complete until a confirmation email is received from an EDGE Membership Director.


Participant's Name

First Name*

Middle Name

Last Name*

Phone*
Participant's Age Acknowledgment*
I certify that I am 18 years of age or older
Participant's Information

Any other participants connected to your membership you wish to cancel.
Reason For Cancellation
Seasonal
Out of Town Move
Medical
Low Usage
Joining a different gym
Other
Cancel My:
Membership
Locker Rental
Master Swim Add-On
Pickleball Add-On
Ultimate EDGE / Tennis Add-On
Wellness Lounge

Requested Cancellation Date (NOTE: Memberships must be cancelled by 1:00pm on the last day of the month to avoid billing on the first day of the next month) . Membership dues are non-refundable after this time due to processing fees incurred. *
Participant's Signature*
Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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