I am requesting to cancel my membership at The 12. I understand all memberships require a 1 Month WRITTEN NOTICE and if my next billing date falls within 1 Month of submitting this form I will be billed again and I should expect 1 final payment after the submission of this form. I understand that any past due balances are still my responsibility and my cancellation will NOT be processed until any due balances are cleared.
I understand this form is a request to cancel my membership and must meet the criteria listed above. Further, I recognize I am responsible for all fees until my cancellation is considered effective and by signing this form I authorize The 12 to draft all amounts owed by any EFT or Credit Card accounts provided to the Studio.
