Name *

First Name

Last Name

Date of Cancelation *

Please specify the date you would like to terminate your contract.

MM

DD

YYYY

I understand my contract must have renewed a minimum of 1 time in order to cancel. *

Yes

I understand that this form must be submitted a minimum of 7 days prior to renewal (or prior to 10th class) and any autopayments scheduled before this cutoff will run prior to cancelation. *

Yes

I understand my contract is not terminated until I receive a confirmation email from Stronger and it is my responsibility to follow up via email or text message for confirmation. *

If you do not hear back from us w/in 3 business days please follow up via text or email

Yes