Perpetual Membership Cancellation Form

Check the box for each item you are requesting for Perpetual Payroll Deduct Cancellation:
(Provide building and locker number of the locker you wish to cancel)
(The membership(s) will cancel at the end of whichever month you select. If the month is already started, you will get charged for that month.)


By submitting the following web form, I understand that refund/credits will not be issued for previous deductions. Memberships and/or Locker cancellations for employees in the Perpetual Payroll Deduction Program become effective no earlier than the last day of the month in which the cancellation notice is received. Because each month’s membership deductions are for the prior month’s service, the final deduction will occur on the next monthly paycheck after the requested date of cancellation. *