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Cancellation / Hold Request Form

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Membership Packages can be canceled with a doctor’s order or a verified move out of the region where your membership is active, although documentation may be required in either case and we do not guarantee any such cancellation. A 30-day notice of cancellation is required. This form submission can suffice as a members 30 day notice. We have the final say on whether to grant a cancellation of a membership package in our sole discretion.

Payment Processing: We may use Stripe, a third-party payment processor to process your payment information, including your payment card data. Be aware that you may be subject to the third-party processor’s terms and your information may be subject to their privacy practices. Stripe’s current terms of service may be found at

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