Membership Cancellation Request Name(Required) First Last Email(Required) Phone(Required)Membership(Required)I am sending this written notice to notify you that I am requesting cancellation of the following membership:LUXE Level 1LUXE Level 2LUXE Level 3Cancellation Details(Required)I have decided to cancel for the following reasons:Cancellation Date(Required)I would like for this cancellation to go into effect on: MM slash DD slash YYYY Consent(Required) I understand that if I am requesting cancellation within the first twelve months of signing up that I am liable for a cancellation fee.Please send me written confirmation of my membership cancellation within 30 days of my receipt to this letter. LUXE Membership Terms and Conditions can be found here.NameThis field is for validation purposes and should be left unchanged.