Membership Cancellation Request

Name(Required)
I am sending this written notice to notify you that I am requesting cancellation of the following membership:
I have decided to cancel for the following reasons:
I would like for this cancellation to go into effect on:
MM slash DD slash YYYY
Consent(Required)

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.

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