Cancel Membership Name * Company Name * Email * List Dependents to Cancel (Full names separated by comma) Reason for Cancelation * —Please choose an option—Change in Work LocationPurchase of Home EquipmentMembership CostHours of OperationEquipmentFacilitiesMedical LeaveProgram/ServicesRetirementSeasonalLeaving WorkWork Life BalanceOther Do you have a private locker? * —Please choose an option—YesNo Δ