Membership Cancellation Request

First Name*

Last Name*

Date of birth*

Email*

Phone

Cancellation notice period

I am giving 4 weeks notice of my intent to cancel from the date this form is submitted
I am giving more than 4 weeks notice of my intent to cancel - please specify your cancellation date below

Membership cancellation effective date

Reason for cancelling your membership*

DECLARATION

By submitting this online form, I acknowledge that I have read and understand the following terms and conditions of cancellation:

4 weeks prior notice is required to cancel your membership and your request must be submitted in writing
You may continue to use your membership during the 4 week notice period.
If you wish to cancel your membership immediately, based on a permanent disability or serious illness, please put your request in writing along with a supporting letter from a medical practitioner. Please be advised that immediate cancellation will be at the discretion of ERC Management.
Members cannot cancel their membership whilst on freeze. In order to activate the 4 week notice period, ERC reserves the right to lift the membership off the suspension period.
Should you re-join within a 12 month period of cancelling, you will not be required to pay the signup fee again.

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