Membership Cancellation Form.

Please complete the form below for your cancellation request to be processed by our memberships department.

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By sending this form, you are confirming that you wish to cancel your membership in accordance with Origin Health Clubs Cancellations Policy shown below.

Cancellations Policy ( Applies only to Rolling Monthly Memberships)

  1. One months notice is required when cancelling your membership.
  2. Monthly direct debit memberships cannot be cancelled within the first three months of joining.
  3. Any outstanding membership fees due when a membership or direct debit is cancelled, must be paid upon the request of either the club or authorised collection agency. 
  4. Your direct debit will automatically be cancelled by us, once your final monthly payment has been taken.
  5. Overdue accounts may be passed to an external collection agency, upon which, additional collection fees will also become payable.



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