Club Cancelation Request *Name: *Email: *Phone Number: *Reason for Cancelation: *If the minimum club purchase amount (3 shipments/pickups) has not been fulfilled, a $50 cancelation fee will be charged. 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