Name *

First Name

Last Name

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I UNDERSTAND THAT IN ORDER TO REQUEST A CANCELLATION OF MY MEMBERSHIP AND STOP ANY FURTHER DRAFT PAYMENTS, I MUST SUBMIT MY CANCELLATION REQUEST NO LATER THAN ONE BUSINESS DAY PRIOR TO MY MEMBERSHIP RENEWAL DATE.

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I UNDERSTAND AND AGREE THAT BY SUBMITTING AND CANCELLING MY MEMBERSHIP, I SURRENDER THE CURRENT LOCKED IN MONTHLY, bi-annual, OR ANNUAL MEMBERSHIP RATE. I AM NOT GUARANTEED THAT THE CURRENT MEMBERSHIP PRICING CAN BE OFFERED TO ME AGAIN AND UNDERSTAND THAT ANY CURRENT PRICING BEING REFLECTED CAN INCREASE SHOULD I DECIDE TO RETURN TO THE MOMENTUM MEMBERSHIP.