Membership Cancellation Request

1Cancellation Info

2Eligibility

3Personal Info

4Exit Questions

5Final Acknowledgment

We are very saddened to see that you seeking to cancel your membership. Please use this form and follow the steps to formally request your cancellation.

Please read carefully and click through each step to ensure you are eligible to cancel.

PLEASE NOTE: SUBMISSION OF THIS FORM DOES NOT CANCEL YOUR MEMBERSHIP. The form will be reviewed by our member services team and you will be contacted directly by our staff at the email address you provide.

PLEASE CLICK NEXT TO START YOUR CANCELLATION REQUEST.

ELIGIBILITY

Depending on your membership type you may not yet be eligible to cancel. Our billing staff will review your account and inform you by email if you have not yet met the minimum term of your membership type.

You may not request to cancel until you are within 28 days of the final payment of your minimum obligation. That means that if you have more than one payment remaining, you are not eligible to cancel.

Additionally, all Bombshell Fitness memberships require at least 28 days notice to cancel and any payments due within that 28 day period are REQUIRED as part of your cancellation.

That means your next payment is required to cancel and if that payment does not process, your cancellation will be void and your account will be in default.

TERMS OF CANCELLATION(Required)

YES, I UNDERSTAND THE TERMS OF CANCELLATION STATED ABOVE:

PERSONAL INFO

Name(Required)

First Last

Phone(Required)

Email(Required)

EXIT QUESTIONS

What was your goal when you signed up?(Required)

General Health & Wellness

Lose Weight

Tighten & Tone

Improve Eating Habits

Compete

Prepare for big life event (wedding, etc)

Improve ongoing health concerns

Other

What area of fitness, health, and nutrition are the most challenging for you?(Required)

Finding time to workout

Following the nutrition plan

Motivation

Understanding the workouts

Not getting results

Other

How do you rate the attention and service provided by your coach?(Required)

ExcellentPretty goodNeutralNot so greatTerrible

What areas could your coach improve upon?(Required)

Would you be interested in one free month of services with a new coach that may better meet your needs?(Required)

YES

FINAL ACKNOWLEDGMENT

How often do you log-in to the Bombshell Portal?(Required)

Once a month

Once a week

2-3 times a week

4+ times a week

How often do you interact on the B-Spot (Bombshell FB Group)?(Required)

Once a month

Once a week

2-3 times a week

4+ times a week

How do vou rate the ease of use of the portal?(Required)

ExcellentPretty goodNeutralNot so greatTerrible

How do vou rate the ease of use of our programs?(Required)

ExcellentPretty goodNeutralNot so greatTerrible

You find the Bombshell fitness system workouts to be(Required)

Too Hard

Too Easy

Just Right

MOVING FORWARD(Required)

	Definitely	Probably	Not Sure	Probably Not	Definitely Not
Would you consider returning to Bombshell in the future?
Will you recommend our service to others?

How can we improve our service?(Required)

If Bombshell Fitness has not yet gotten you on the path to your fitness, we want another chance! Would you consider any of the following?(Required)

Four more weeks of membership at NO CHARGE with a new coach

No thank you

Cancellation Request(Required)

I hearby certify that I wish to cancel my membership with Bombshell Fitness.

I hearby certify that I wish to cancel my membership with Bombshell Fitness. I understand that my account must be in good standing in order to complete this requst. I understand that I am responsible for any billing that will occur within the next 28 days. I understand that I will be contacted within 72 hours by a member services representative and I must reply to confirm cancellation.

Cancellation Request(Required)

I UNDERSTAND that this form does NOT FINALIZE the cancellation and I will be contacted within 48 hours and MUST REPLY BACK TO THAT EMAIL:*

Signature(Required)

Membership Cancellation Request

Bombshell Fitness™