Membership Changes Type of Account Change*UpgradeFreezeDowngradeCancellationCancellation Code*Please stop by the club to get the code to process your request. Incorrect attempts will not be viewed.Cancellation Request*Canceled Service w/ 30 Day NoticeCanceled Service ImmediatelyFull Name*Did Member Return MyZone Band?*YesNoMember PurchasedMember Did Not ReceiveEmail* Freeze Request*Freeze MembershipFreeze ServiceFreeze Length*1 Month2 MonthReason for cancel?*RewriteMoveMedicalFInancialNo Time3 Day CancelOtherAuthorized Employee*Tara JuzeszynDaniele ChristianRidge WarrenMolly OConnorSam PetersChristopher EvansJoshua JamesChris TamburchLisa StaskoSara GeorgeTom ReidyJacki May-MitschJoe ReganKrynn PalugaMike OrwigLeanne HefnerBrandon RingerRebecca Martin-BerryJosh BibaDana OdegaardSamantha GormanTaylor MooreCheri KrugerMolly HallKyle KnezeticPhillip CoprichAgreement #*Account Type*MembershipPersonal TrainingTeam TrainingClub Location*Beecher 6752Bourbonnais 6793Champaign 6796Crete 6754Lowell 6756Manhattan 6746Manteno 6739Minooka 6794Monee 6742Pontiac 6768Streator 6776Terms of Downgrade* I agree to the terms of downgrade. To downgrade a membership there is a $49 downgrade fee. If you are currently in a term membership that term will still remain in place. We will charge your account on file the $49 at the time of downgrading and you will receive an email confirmation.Terms of Upgrade* I agree to the terms of upgrade. If in a term agreement, that term's current length will remain.Terms of Freeze* I agree to the terms of freeze. Membership or service may be frozen for up to 3 months. There is a $5 freeze fee that will be processed monthly in place of your membership dues. If in a term agreement, that term will get extended for the length of the freeze.Terms of Cancellation* I agree to the terms of cancellation. I understand that I am submitting a cancellation request. If my cancellation is approved, my cancellation will go into effect 30 days from the next date billing date as stated per my agreement. I authorize Fitness Premier to process any fees associated with my account, including any past due balance or final membership dues. I understand that if any of these charges are returned for any reason my cancellation request will be voided and the account will be reinstated.Electronic Signature*By typing your name above, you are signing this Agreement electronically. You agree your electronic signature is the legal equivalent of your manual/handwritten signature on this Agreement.