Membership Plan Cancellation Form

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For your membership to be successfully cancelled, this form must be returned and signed to authorise such actions to be taken by The Salt Therapy Clinic & Sanctuary.

This Membership Cancellation form must be signed and returned by 1pm of the day prior to your next scheduled payment for this payment not to be processed.

Your next scheduled weekly payment is on Friday the: _________________

Cancellation Terms & Conditions
  • A member is entitled to cancel their Membership Plan once the no cancellation period has lapsed (ie. 25 weeks)
  • The cancellation form must be signed and returned to The Salt Therapy Clinic & Sanctuary for us to cancel your membership with our direct debit provider.
  • Over the phone cancellations do not apply. The Salt Therapy Clinic & Sanctuary requires a signature to cancel your membership as we require your permission to access your account details. 
  • The Salt Therapy Clinic & Sanctuary will accept your cancellation form via email or post. However, please note we can only cancel your membership once we receive your *signed form.
  • The Salt Therapy Clinic & Sanctuary is limited to a specific number of Members, we cannot guarantee another membership unless there is availability.

To cancel a Membership, please fill in your details below:

Name: ___________________________________________________________

Phone Number: ___________________________________________________

Reason for Cancellation: __________________________________________

Date of Cancellation: ____________________

*Signed: ________________________________________ Date: ____________

The Salt Therapy Clinic & Sanctuary Staff:

______________________________________________________

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