Cancellation Form

I understand 30 day advanced notice is required to cancel my membership*

YesNo

Please review your Membership Agreement and the Cancellation procedures form you filled out at signup, a copy was emailed to you.

If you need a copy or need to discuss, please send an email to quit@tampamt.com or call 813-321-8669.

Please note, your cancellation will not take effect until you resolve this issue and submit a full complete Cancel Form.

My Membership is current/up-to-date*

YesNo

Memberships cannot be canceled if past due. Please send an email to quit@tampamt.com or call 813-321-8669 to bring your account current.

Please note, your cancellation will not take effect until you resove this issue and submit a full complete Cancel Form.

Name*

First NameLast Name

Key Tag #

4 digit keytag ID

Phone Number*

Email*

example@example.com

Membership Type*

Term Contract (annual or 6 month)Monthly Recurring

Term Contracts may request cancellation once the original term (6 or 12 month) is complete.

Special circumstance cancellation may be requested if either of the following apply:

1) Medical restrictions preventing any future martial arts training

2) Relocation more than 25 miles from registered home address

Special circumstance cancellation requires the payment of a cancellation fee calculated as follows: (current month-to-month price multiplied by number of months enrolled) minus dues already paid.

REQUIRED: Please use "Supporting Documents" button below to upload a Medical doctors note or proof of new address (Drivers License, Lease, etc).

I understand there will be 1 final membership charge per the 30 day advance notice requirement, and that payment will be applied per my selection below.*

YesNo

Please review the Cancellation procedures form you filled out at signup, a copy was emailed to you.

If you need a copy or need to discuss, please send an email to quit@tampamt.com or call 813-321-8669.

Please note, your cancellation will not take effect until you resolve this issue and submit a full complete Cancel Form.

How would you like your final payment applied?*

A final month of accessDrop-in/Day-pass packagePrivate training sessionsCredit to use in the future

Supporting documents

Browse Files

Reason*

Comments

Membership Cancel Request