Use this form to request a membership refund. Refunds are not guaranteed and will be addressed on an individual basis. 

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* 1. First Name

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* 2. Last Name

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* 3. E-Mail Address

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* 4. Phone Number

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* 5. What type of membership do you have? 

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* 6. What is your member number?

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* 7. Requested refund amount: 

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* 8. What date did you last renew your membership ? 

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* 9. Reason for refund request ?

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