Picture: fitness for all

Picture: fitness for all

Picture: fitness for all

Membership Cancellation Form

Membership Cancellation Form

First Name*

Last Name*

Email*

Mobile*

Date of Birth*

Requested Cancellation Date*

Reason for Cancellation*

Please elaborate below

Comments/Feedback

Acknowledgements*

In accordance with the Terms & Conditions of my membership, I acknowledge that the next direct debit due is required as notice, with any fees owing to be deducted pro rata. I understand that my membership will remain active for a period of 14 days from the date of my final direct debit and the requested cancellation dates cannot be retroactive. The date of my final direct debit, and the date of my membership expiry will be confirmed by Port Hedland Leisure via email.