Filling and submitting this form will cancel your Saginaw YMCA membership.

Filling out this form will stop your membership prior to the next billing cycle.  Members are responsible for all accrued account balances prior to the date of their account being stopped.  By completing this form you are cancelling your membership and giving up access to any and all Saginaw YMCA programs and facilities use.   You understand that to reactivate a membership new paperwork will need to be completed at the member service desk located inside the YMCA of Saginaw lobby. 

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* 1. Name:

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* 2. Date:

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* 3. Email address:

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* 4. Phone:

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