"Without good health, all other professional and personal challenges lose their importance."

NHHR Membership Cancellation Form

We're sorry to see you go.

This form takes about 3 minutes to complete.
Your request will be reviewed by our team.

Question 1 of 8

Date

Today's date (pre-filled — change if needed)

Please enter the date.

Question 2 of 8

Member's Name

Full name as it appears on your membership account

Please enter the member's name.

Question 3 of 8

Membership Key Card Number

Enter the 6-digit number printed on your membership key card

Please enter a 6-digit membership key card number.

Question 4 of 8

Last Payment on 1st of

Based on your cancellation date (Question 1), your last payment date is calculated automatically as the 1st of the following month.

—

I confirm this last payment date is correct Please confirm the last payment date to continue.

Question 6 of 8

What could we have done to keep you as a member?

Your feedback helps us improve (optional)

Question 7 of 8

Membership Agreement

I understand that this cancellation request may take up to 30 days before becoming effective and that all dues and fees owed to the club must be paid prior to cancellation (per membership agreement). In the event of an additional monthly charge, you must contact us within 30 days for a refund.

I understand and agree that as per membership agreement, I will be charged $75 cancellation fee if failed to complete my contract term. I understand and agree to the terms above Please check both boxes to continue.

"We may carry countless concerns, but good health is the foundation upon which all other priorities rest."

Question 8 of 8

Member Signature & Contact

Type your full name as your signature, then enter your US cell phone number and email address. Cell phone is required.

Please enter your signature. Cell phone number (required) Please enter a valid 10-digit US cell phone number (e.g. (203) 555-0199). Please enter a valid email address.

Review

Review your cancellation request

Please confirm all details before submitting.

Member Information

Date—

Member's Name—

Membership Key Card Number—

Last Payment—

Cancellation Details

Reason(s)—

Feedback—

Cancellation Fee—

Terms Agreement—

Signature & Contact

Signature—

Cell Phone—

Email—

Submitted—

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NHHR Membership Cancellation Form

Date

Member's Name

Membership Key Card Number

Last Payment on 1st of

Reason(s) for cancellation

What could we have done to keep you as a member?

Membership Agreement

Member Signature & Contact

Review your cancellation request

Member Information

Cancellation Details

Signature & Contact

Cancellation Request Submitted

In Short

Get In Touch

Business Hours

Become A Member

MemberLogin

NHHR Membership Cancellation Form

Date

Member's Name

Membership Key Card Number

Last Payment on 1st of

Reason(s) for cancellation

What could we have done to keep you as a member?

Membership Agreement

Member Signature & Contact

Review your cancellation request

Member Information

Cancellation Details

Signature & Contact

Cancellation Request Submitted

In Short

Get In Touch

Business Hours

Become
A Member

Member
Login