Membership Cancellation Form

S.S.C. Gym Ltd

To: S.S.C Gym Ltd
3 rd Floor Victoria Mill
Bolton Old Road
Atherton
M46 9JQ
Email: [email protected]

I hereby give notice that I cancel my contract for membership of S.S.C. Gym Ltd:

Member Name:

Address of Member:

Date of Birth of Member:

Member No. (optional):

Date: