Membership Cancellation Request - NLXF North Liberty

NLXF Member Cancellation Request

We are bummed to see you go! Please complete this form to request cancellation of your NLXF EFT Membership. Submission of this form serves as your written notice of cancellation. All cancellation requests are subject to the terms outlined in your membership agreement. We will review your request and shortly confirm your final billing and cancellation date.

Full Name *

Enter your first and last name

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Email Address *

Enter the email associated with your membership

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Date of Cancellation Request

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Phone Number *

Enter your phone number

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Contract Status *

I have completed my initial 6-month agreement.

I have not completed my initial 6-month agreement.

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Required Acknowledgements

I understand NLXF requires a 30-day notice prior to my billing date for cancellation requests.

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I understand any remaining payments due under my membership agreement may still be processed.

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I understand that if I have not completed my initial 6-month agreement, applicable contract terms and fees may apply.

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I am requesting cancellation of my membership

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Reason for Cancellation *

Optional. We'd appreciate your feedback.

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Electronic Signature *

Type your full legal name

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Date *

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NLXF Member Cancellation Request

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(319)930-9010 650 Pacha Pkwy #8 North Liberty, IA 52317

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