Club Cancelation Request *Name: *Email: *Phone Number: *Reason for Cancelation: *I acknowledge this request is being submitted two (2) weeks prior to my upcoming scheduled billing. Please initial to acknowledge. *If the minimum club purchase amount (3 shipments/pickups) has not been fulfilled, you will be charged a $50 cancelation fee as well as the amount of any discounts received.Please Initial to acknowledge: *Would you like to have any pending orders shipped to your address on file? *If yes, Standard shipping will be charged to the credit card on file. Yes No Leave this field blank: Submit